Jennifer Lynn Gustafson, OTR/L
NPI #1922384940 in Indian Trail, North Carolina
Provider Information
- NPI Number
- 1922384940
- Entity Type
- Individual
- Name
- Jennifer Lynn Gustafson, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Oct 24, 2011
- Last Updated
- Oct 24, 2011
Practice Location
- Address
- 3101 LESS TRAVELED TRL
- City
- Indian Trail
- State
- North Carolina
- ZIP Code
- 28079-7801
- Phone
- (980) 328-0808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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