JODY GUSTAFSON

BOTHELL, WA
NPI1053655860
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: WA  PT 00002619)
Enumeration Date2012-11-16
Last Update Date2012-11-16
Business Address
-- JODY GUSTAFSON
3330 MONTE VILLA PKWY
BOTHELL, WA 98021-8972
Phone number: 425-408-5570
Mailing Address
-- JODY GUSTAFSON
19705 88TH AVE NE
BOTHELL, WA 98011-2121
Phone number:
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