NPI 1386382422

Shania Custodio-Velasco

Practitioner Physical Therapy Assistant Kailua, HI

Practice location

Address: 1090 Keolu Dr STE 104, Kailua, HI 96734-3871
Phone: (808) 262-2292

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 640 (HI)

Other Physical Therapy Assistant providers in Hawaii →

Registry record

NPI: 1386382422
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2022
Record last updated: 26 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.