Individual provider · Type 1 NPI

Farah Grace Custodio

Orthopedic Physical Therapist · Forest Grove, OR

NPI number 1740924620 Active

Practice location

3838 Pacific Ave
Forest Grove, OR 97116-2224

Call (503) 357-1706 Map

Mailing address

1000 NW 123rd Ave Apt 1
Portland, OR 97229-5673

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center 261QP2000X64412 (OR)
Orthopedic Physical Therapist Primary 2251X0800X64412 (OR)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1740924620

Farah Grace Custodio's National Provider Identifier is 1740924620, issued on Apr 26, 2022. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Forest Grove, OR. The record was last updated on Oct 22, 2024.