Doctor Name: | MA SOFIA B DE CASTRO |
NPI Number: | 1376737593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT 33747 |
Business Practice Address: | 301 S Fair Oaks Ave Suite 401 Pasadena, CA - 911052561 |
Business Phone Number: | 6267440411 |
Business Fax Number: | 6267440431 |
Mailing Address: | 1230 E Washington St, Suite 2 COLTON |
State: | CA |
Postal Code: | 923246450 |
Phone Number: | 9098256716 |
Fax Number: | 9098254339 |
NPI Enumeration Date: | 08/30/2007 |
NPI Last Update Date: | 08/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 33747 |
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 |