Doctor Name: | MR. ROLLY FETALCORIN CASTILLO |
NPI Number: | 1083803399 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | J1-0002119 |
Business Practice Address: | 3201 W. Commercial Blvd. Suite 116 Fort Lauderdale, FL - 333093440 |
Business Phone Number: | 9543324445 |
Business Fax Number: | |
Mailing Address: | 3290 North Ridge Road, Suite 290 Executive Center Ii ELLICOTT CITY |
State: | MD |
Postal Code: | 210433655 |
Phone Number: | 4107509006 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2007 |
NPI Last Update Date: | 10/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | J1-0002119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |