Individual
LEVI D CUSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11070 CATHELL RD, UNIT 4, BERLIN, MD 21811-9344
(410) 208-3630
(410) 208-3632
Mailing address
408 CAMDEN AVE, SALISBURY, MD 21801-5304
(410) 208-3630
(410) 208-3632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24897
MD
225100000X
Physical Therapist
—
DE
Other
Enumeration date
02/20/2014
Last updated
03/25/2025
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