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Search › Alabama › 225200000X

Lori Gustafson, PTA

NPI 1861952194 · on the registry since 2019

Practice

Address
3034 County Road 611
Valley Head, AL 35989
Phone
(912) 996-3567
Fax
(855) 232-8604

Additional practice sites

  • 6001 Sw 6th Ave Ste 230, Topeka, KS

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
225200000X
225200000X
Licence states on file
TN, AL, KS, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-03

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 Alabama