Castro, Amanda Marie

Castro, Amanda Marie is an individual health care provider with primary practice located at 2954 Rodeo Park Dr W , Santa Fe NM 87505-6351. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Castro, Amanda Marie can be contacted via phone (505) 424-0131.

Contact Information

Primary practice address
2954 Rodeo Park Dr W Santa Fe NM 87505-6351
Phone: (505) 424-0131
Fax: (505) 424-1299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4349 New Mexico

Profile Details

NPI number 1447683727
LBN Legal business name Castro, Amanda Marie
Credentials D.P.T
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2013
Last updated Aug 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447683727 NPPES
New Mexico MEDICAID N4536

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