Individual
MISS BRYTNEY VALENTINE CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7966 NUMBER 4 RD W, MANLIUS, NY 13104-9540
(315) 663-6980
Mailing address
7966 NUMBER 4 RD W, MANLIUS, NY 13104-9540
(315) 663-6980
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
008043-1
NY
225200000X
Physical Therapy Assistant
Primary
2306603236
VA
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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