Provider Demographics
NPI:1710276571
Name:CASTER, NORINA L (PT)
Entity Type:Individual
Prefix:
First Name:NORINA
Middle Name:L
Last Name:CASTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:NORINA
Other - Middle Name:G
Other - Last Name:LAXAMANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7331 WOODSHAWN DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-7257
Mailing Address - Country:US
Mailing Address - Phone:619-300-2650
Mailing Address - Fax:
Practice Address - Street 1:7331 WOODSHAWN DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-7257
Practice Address - Country:US
Practice Address - Phone:619-300-2650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26269225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist