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Contact Information

MARIE CUSTODERO, PT
550 EASTGATE DR
AIKEN, SC29803
 Phone: 803-643-3694
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARIE CUSTODERO · (Female)

NPI # 1871714998
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/02/2007
Last updated 09/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL Medicaid 887462000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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