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NPI Code Detail

MEDICARE: BRITTANY CASTILLO

MEDICARE: BRITTANY CASTILLO
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
1225X00000XOccupational Therapist20073

General Provider Information

NPI Number : 1427607175
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY CASTILLO
Provider Business Mailing Address
First Line : 3160 OCTAVIA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-3009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3400 LAGUNA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-2271
Country : US
Telephone Number : 404-594-1908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2019
Last Update Date : 09/05/2019

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Directions to “ BRITTANY CASTILLO ” Practice Location

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