Mary Rose L Custodio
Mary Rose L Custodio is a Physical Therapist in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
1508 Avenue UBrooklyn, NY 11229-3808
Phone: (718) 376-3383
Fax: (718) 376-3385
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 026493-1 (NY) |
|---|
Record details
| NPI number | 1740388412 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | March 10, 2009 |
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