MRS. Tammy Lynn Gustafson, OTR

NPI #1912174616 in Washburn, Wisconsin

Provider Information

NPI Number: 1912174616
Entity Type: Individual
Name: MRS. Tammy Lynn Gustafson, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: May 12, 2008
Last Updated: Sep 11, 2015

Practice Location

Address: 706 BRATLEY DRIVE
City: Washburn
State: Wisconsin
ZIP Code: 54891
Phone: (715) 373-6425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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