Provider Demographics
NPI:1982125738
Name:CASTRO, MARIA VIRGINIA (MS, ATC)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:VIRGINIA
Last Name:CASTRO
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:VIRGINIA
Other - Last Name:AMOROSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, ATC
Mailing Address - Street 1:11110 ALONDRA BLVD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-6203
Mailing Address - Country:US
Mailing Address - Phone:562-860-2451
Mailing Address - Fax:
Practice Address - Street 1:11110 ALONDRA BLVD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-6203
Practice Address - Country:US
Practice Address - Phone:562-860-2451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer