Fermin Castro, OTR

Individual provider Active NPI Occupational Therapist · Bluefield, VA

NPI 1487948006 · NPPES record last updated May 31, 2011

Key facts

NPI
1487948006
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
0119005107 (VA)
Practice address
20 Westwood Memorial Park
Bluefield, VA 24605
Phone
(276) 322-5439
Fax
(276) 322-5442
NPI assigned
May 31, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0119005107VAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119005107 VA Yes

Addresses

Primary practice location

20 Westwood Memorial Park
Bluefield, VA 24605

Mailing address

315 Manchester CT
Princeton, WV 24740-4263

Other providers in Bluefield, VA

All providers in Bluefield, VA · Occupational Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.