Provider Demographics
NPI:1821872227
Name:CASTELLANOS, ROXANNE (DPT)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:
Last Name:CASTELLANOS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19116 SW 25TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2503
Mailing Address - Country:US
Mailing Address - Phone:305-283-3374
Mailing Address - Fax:
Practice Address - Street 1:2146 N 72ND TER
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-1042
Practice Address - Country:US
Practice Address - Phone:954-257-5370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics