Provider Demographics
NPI:1073019832
Name:CASTILLO, DESIREE (OT)
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 MASSEY CT
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-4123
Mailing Address - Country:US
Mailing Address - Phone:817-618-5689
Mailing Address - Fax:
Practice Address - Street 1:6501 MASSEY CT
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-4123
Practice Address - Country:US
Practice Address - Phone:817-618-5689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist