Provider Demographics
NPI:1982261590
Name:CASTANEDA, HOPE (PT, DPT, ATC)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:CASTANEDA
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:
Other - Last Name:CASTANEDA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:914 E FORDYCE AVE STE C
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-5855
Mailing Address - Country:US
Mailing Address - Phone:361-221-2425
Mailing Address - Fax:361-221-8750
Practice Address - Street 1:914 E FORDYCE AVE STE C
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-5855
Practice Address - Country:US
Practice Address - Phone:361-455-7605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1315926225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist