Individual provider · Type 1 NPI

Marian Custodio

Physical Therapy Assistant · Escondido, CA

NPI number 1669860011 Active

Practice location

720 Lacrosse Pl
Escondido, CA 92025-6358

Call (619) 888-1832 Map

Fax (619) 231-7040

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X9474 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1669860011

Marian Custodio's National Provider Identifier is 1669860011, issued on Jan 7, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Escondido, CA. The record was last updated on Jan 7, 2015.