Alexandra Gustafson, DPT, PT

NPI #1295208767 in Tewksbury, Massachusetts

Provider Information

NPI Number: 1295208767
Entity Type: Individual
Name: Alexandra Gustafson, DPT, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT, PT
Enumeration Date: Jan 8, 2019
Last Updated: Jan 8, 2019

Practice Location

Address: 1830 MAIN ST APT 1
City: Tewksbury
State: Massachusetts
ZIP Code: 01876-4712
Phone: (978) 710-6254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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