Castro-Penullar, Shasta Victoria Grimes

Castro-Penullar, Shasta Victoria Grimes is an sole proprietor health care provider with primary practice located at 242 10Th St , Jersey City NJ 07302-1406. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Castro-Penullar, Shasta Victoria Grimes can be contacted via phone (201) 795-2499.

Contact Information

Primary practice address
242 10Th St Jersey City NJ 07302-1406
Phone: (201) 795-2499
Fax: (201) 795-3579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X New Jersey

Profile Details

NPI number 1699819730
LBN Legal business name Castro-Penullar, Shasta Victoria Grimes
Credentials BSPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Dec 10th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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