Individual
CAREY CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
658 KENILWORTH DR, SUITE 100, TOWSON, MD 21204-2312
(410) 339-4600
Mailing address
658 KENILWORTH DR, SUITE 100, TOWSON, MD 21204-2312
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2927
MD
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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