KARL MATTHEW CUSTODIO JOSOL

BROOKLYN, NY
NPI1720693492
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  045841)
Enumeration Date2020-09-10
Last Update Date2020-09-10
Business Address
KARL MATTHEW CUSTODIO JOSOL
2579 OCEAN AVE FL 3
BROOKLYN, NY 11229-4552
Phone number: 646-780-0926
Mailing Address
KARL MATTHEW CUSTODIO JOSOL
11230 OTSEGO ST
NORTH HOLLYWOOD, CA 91601-3783
Phone number: 818-800-9022
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