Allison Gustafson

NPI #1356721112 in Park Rapids, Minnesota

Provider Information

NPI Number: 1356721112
Entity Type: Individual
Name: Allison Gustafson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 5, 2015
Last Updated: Aug 7, 2015

Practice Location

Address: 200 MAIN AVE S
City: Park Rapids
State: Minnesota
ZIP Code: 56470-1518
Phone: (218) 732-0868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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