| NPI | 1265988174 |
|---|---|
| Former Name | CHRISTINE GUSTAFSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: PA OC012891) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: PA OC012891) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2019-06-06 |