Provider Demographics
NPI:1962860767
Name:CASTLE, JUNE E (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:E
Last Name:CASTLE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:CASTLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:COTA/L
Mailing Address - Street 1:4909 GREENAN DR
Mailing Address - Street 2:
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-2000
Mailing Address - Country:US
Mailing Address - Phone:405-208-2571
Mailing Address - Fax:
Practice Address - Street 1:4909 GREENAN DR
Practice Address - Street 2:
Practice Address - City:SAND SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:74063-2000
Practice Address - Country:US
Practice Address - Phone:405-208-2571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX213750224Z00000X
OK1336224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant