LEO RICHARD GUSTAITIS

WINSTON SALEM, NC
NPI1831104314
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  P7209)
Enumeration Date2006-07-30
Last Update Date2015-09-17
Business Address
-- LEO RICHARD GUSTAITIS PT
170 KIMEL PARK DR
WINSTON SALEM, NC 27103-6946
Phone number: 336-768-1270
Mailing Address
-- LEO RICHARD GUSTAITIS PT
4601 PARK RD SUITE 300
CHARLOTTE, NC 28209-3239
Phone number: 704-323-2000
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