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Individual

MELANIE CUSTODIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
652 GRANGER RD, BARRE, VT 05641-5363
(508) 463-5998
Mailing address
1430 VT 14 N, EAST MONTPELIER, VT 05651-4026

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134012
VT

Other

Enumeration date
01/09/2026
Last updated
01/09/2026
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