Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fernando Sarmiento Custodio V

Individual provider Physical Therapy Assistant · NPI 1588443022

Fernando Sarmiento Custodio V is a Physical Therapy Assistant in Carrollton, Georgia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
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Practice location Address checks out

3455 Oak Grove Church Rd
Carrollton, GA 30117
Phone: (770) 834-1737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306604484 (VA)

Record details

NPI number1588443022
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 23, 2023
Mailing address1235 New Land Dr, Virginia Beach, VA 23453-3120

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