Sophia Haines Gustafson
NPI #1457007817 in Lovettsville, Virginia
Provider Information
- NPI Number
- 1457007817
- Entity Type
- Individual
- Name
- Sophia Haines Gustafson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Feb 24, 2022
- Last Updated
- Feb 24, 2022
Practice Location
- Address
- 13662 OLD SPRINGHOUSE CT
- City
- Lovettsville
- State
- Virginia
- ZIP Code
- 20180-2957
- Phone
- (540) 454-5130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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