NPI 1407536139

Christine Custer, PTA

Practitioner Physical Therapy Assistant Fairfield, ME

Practice location

Address: 3 King St, Fairfield, ME 04937-1507
Phone: (207) 873-0705

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PA3748 (ME)

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Registry record

NPI: 1407536139
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2023
Record last updated: 18 Jul 2023

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.