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NPI Code Detail

MEDICARE: KARINA CASTRO-AYALA OTR, OTD

MEDICARE: KARINA CASTRO-AYALA OTR, OTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XN1300XNeurorehabilitation Occupational Therapist123251TX

General Provider Information

NPI Number : 1316718984
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARINA CASTRO-AYALA OTR, OTD
Provider Business Mailing Address
First Line : 8222 N BELT LINE RD STE 175
Second Line :
City : IRVING
State : TX
Zip : 75063-2276
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8222 N BELT LINE RD STE 175
Second Line :
City : IRVING
State : TX
Zip : 75063-2276
Country : US
Telephone Number : 972-241-9334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2024
Last Update Date : 01/12/2024

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