| Doctor Name: | GLENDA CASILLAS |
| NPI Number: | 1194849075 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT32601 |
| Business Practice Address: | 529 E St Brawley, CA - 922271930 |
| Business Phone Number: | 7603449000 |
| Business Fax Number: | 7603449191 |
| Mailing Address: | 428 N Imperial Ave, EL CENTRO |
| State: | CA |
| Postal Code: | 922432329 |
| Phone Number: | 7603533422 |
| Fax Number: | 7603539163 |
| NPI Enumeration Date: | 03/18/2007 |
| NPI Last Update Date: | 09/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT32601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |