Provider Demographics
NPI:1760730113
Name:CASTRO, GLADINA DEVERA (RPT)
Entity type:Individual
Prefix:
First Name:GLADINA
Middle Name:DEVERA
Last Name:CASTRO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CHANDLER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-3110
Mailing Address - Country:US
Mailing Address - Phone:267-886-3402
Mailing Address - Fax:
Practice Address - Street 1:800 CHANDLER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-3110
Practice Address - Country:US
Practice Address - Phone:267-886-3402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist