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1083803399
ROLLY FETALCORIN CASTILLO
FORT LAUDERDALE, FL
NPI
1083803399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: DE J1-0002119)
Enumeration Date
2007-10-23
Last Update Date
2007-10-23
Business Address
Mr. ROLLY FETALCORIN CASTILLO PT
3201 W. COMMERCIAL BLVD. SUITE 116
FORT LAUDERDALE, FL 33309-3440
Phone number: 954-332-4445
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Mailing Address
Mr. ROLLY FETALCORIN CASTILLO PT
3290 NORTH RIDGE ROAD SUITE 290 EXECUTIVE CENTER II
ELLICOTT CITY, MD 21043-3655
Phone number: 410-750-9006
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