Farah Grace Custodio
NPI #1740924620 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1740924620
- Entity Type
- Individual
- Name
- Farah Grace Custodio
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist - Orthopedic
- Enumeration Date
- Apr 26, 2022
- Last Updated
- Oct 22, 2024
Practice Location
- Address
- 3838 PACIFIC AVE
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-2224
- Phone
- (503) 357-1706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
| Physical Therapist - Orthopedic — Orthopedic |
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