KELLEIGH GUSTAFSON

LAKEWOOD, NJ
NPI1134796410
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: DC  OT200001205)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: NY  025551)
Enumeration Date2021-06-07
Last Update Date2021-06-23
Business Address
KELLEIGH GUSTAFSON OTR/L
850 TOWBIN AVE
LAKEWOOD, NJ 08701-5928
Phone number: 732-987-3829
Mailing Address
KELLEIGH GUSTAFSON OTR/L
515 E SENECA ST
MANLIUS, NY 13104-1918
Phone number: 517-899-9777