Individual provider · Type 1 NPI

Benjamin Castillo Madrid Jr., OTRL

Occupational Therapist · Los Angeles, CA

NPI number 1790990265 Active

Practice location

1200 N State St
Los Angeles, CA 90033-1029

Mailing address

1234 Agate St, Apt D
Redondo Beach, CA 90277-2314

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2240 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1790990265

Benjamin Castillo Madrid Jr., OTRL's National Provider Identifier is 1790990265, issued on May 10, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 6, 2008.