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FARAH CUSTODIO

Orthopedic Physical Therapist

NPI: 1740924620IndividualAccepts Medicare

Specialties, Licenses & Credentials

Clinic/Center — Physical Therapy

Code: 261QP2000X

64412(OR)

Physical Therapist — Orthopedic

Code: 2251X0800X

64412(OR)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2005

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Contact & Hours

Address
3838 PACIFIC AVE
FOREST GROVE, OR 97116

Quick Facts

NPI
1740924620
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
21

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