Provider Demographics
NPI:1376671073
Name:CASTRO, AMY E
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:E
Last Name:CASTRO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:LIGHTFOOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RADTII
Mailing Address - Street 1:223 E ROWLAND ST
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3147
Mailing Address - Country:US
Mailing Address - Phone:626-332-3145
Mailing Address - Fax:626-332-8003
Practice Address - Street 1:223 E ROWLAND ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3147
Practice Address - Country:US
Practice Address - Phone:626-332-3145
Practice Address - Fax:626-332-8003
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner