Jody Gustafson
NPI #1053655860 in Bothell, Washington
Provider Information
- NPI Number
- 1053655860
- Entity Type
- Individual
- Name
- Jody Gustafson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist - Pediatrics
- Enumeration Date
- Nov 16, 2012
- Last Updated
- Nov 16, 2012
Practice Location
- Address
- 3330 MONTE VILLA PKWY
- City
- Bothell
- State
- Washington
- ZIP Code
- 98021-8972
- Phone
- (425) 408-5570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Pediatrics — Pediatrics |
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