Individual
AMBER CUSTODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 PINE CONE DR STE 104B, PALM COAST, FL 32137-8683
(386) 446-9716
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37265
FL
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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