Provider Demographics
NPI:1790808541
Name:CASTILLO, ANNABEL CORTEZ (OTR, CHT)
Entity Type:Individual
Prefix:
First Name:ANNABEL
Middle Name:CORTEZ
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-1917
Mailing Address - Country:US
Mailing Address - Phone:956-283-9442
Mailing Address - Fax:956-283-9456
Practice Address - Street 1:1904 TESORO ST
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-7580
Practice Address - Country:US
Practice Address - Phone:956-283-9442
Practice Address - Fax:956-283-9456
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108003225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand