MEDICARE: ALYSA CASTILLO HERRERA OTR

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
1	225X00000X	Occupational Therapist	116182	TX

General Provider Information

NPI Number	:	1528474046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSA CASTILLO HERRERA OTR

Provider Business Mailing Address
First Line	:	PO BOX 531968
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78553-1968
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 N COMMERCE CTR STE 2.201
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-3185
Country	:	US
Telephone Number	:	956-296-4820
Fax Number	:	956-296-4777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2014
Last Update Date	:	09/30/2025

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