Craig Robert Gustafson

NPI #1629685573 in Deer Park, Washington

Provider Information

NPI Number: 1629685573
Entity Type: Individual
Name: Craig Robert Gustafson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 24, 2020
Last Updated: May 22, 2024

Practice Location

Address: 707 S PARK ST
City: Deer Park
State: Washington
ZIP Code: 99006-7025
Phone: (509) 276-8811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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