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FARAH CUSTODIO
Orthopedic Physical Therapist
NPI: 1740924620IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical Therapy Clinic/Center
Clinic/Center — Physical Therapy
Code: 261QP2000X
64412(OR)
Orthopedic Physical TherapistPrimary
Physical Therapist — Orthopedic
Code: 2251X0800X
64412(OR)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2005
Contact & Hours
- Address
- 3838 PACIFIC AVE
FOREST GROVE, OR 97116 - Phone
- (503) 357-1706
Quick Facts
- NPI
- 1740924620
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 21
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