Shania Custodio-Velasco

NPI #1386382422 in Kailua, Hawaii

Provider Information

NPI Number: 1386382422
Entity Type: Individual
Name: Shania Custodio-Velasco
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 26, 2022
Last Updated: May 26, 2022

Practice Location

Address: 1090 KEOLU DR STE 104
City: Kailua
State: Hawaii
ZIP Code: 96734-3871
Phone: (808) 262-2292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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