CHRISTIE IVA GUSTAFSON

WASHBURN, WI
NPI1932436789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  565-019)
Enumeration Date2009-11-13
Last Update Date2015-09-10
Business Address
-- CHRISTIE IVA GUSTAFSON LPTA
706 BRATLEY DRIVE
WASHBURN, WI 54891
Phone number: 715-373-6425
Mailing Address
-- CHRISTIE IVA GUSTAFSON LPTA
706 BRATLEY DR
WASHBURN, WI 54891-1143
Phone number: 715-373-6425
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