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Lavonne Gustafson, PTA
NPI 1083888705 · on the registry since 2008 · sole proprietor
Practice
- Address
- 62277 Delta Lake Rd
Iron River, WI 54847 - Phone
- (715) 372-5659
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin