Henry Castro, PT | |
15435 W Post Cir, Surprise, AZ 85374-1421 | |
(949) 266-4770 | |
Not Available |
Full Name | Henry Castro |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 15435 W Post Cir, Surprise, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669560173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 7217 (Arizona) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336770221 PECOS PAC ID: 2163339722 Enrollment ID: O20200305001210 |
Mailing Address | Practice Location Address |
---|---|
Henry Castro, PT 15435 W Post Cir, Surprise, AZ 85374-1421 Ph: (949) 266-4770 | Henry Castro, PT 15435 W Post Cir, Surprise, AZ 85374-1421 Ph: (949) 266-4770 |
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