Traci Gustafson, COTA/L

NPI 1528314028 · on the registry since 2012 · sole proprietor

Practice

Address: 50 W Main St
Hopkinton, MA 01748
Phone: (508) 435-0120
Organisation at this address: Compass Memory Support
Starting Line Wellness, Llc
Golden Pond Resident Care Corp
Hearthstone At Golden Pond Inc
Sundance Rehabilitation Agency, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-08-02

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 Massachusetts