Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelleigh Gustafson, OTR/L

Individual provider Occupational Therapist · NPI 1134796410

Kelleigh Gustafson, OTR/L is an Occupational Therapist in Lakewood, New Jersey. Licensed in District of Columbia and New York. Registered with an NPI since 2021.

Licensed in
DC, NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

850 Towbin Ave
Lakewood, NJ 08701-5928
Phone: (732) 987-3829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT200001205 (DC)
Occupational Therapist Taxonomy 225X00000X · Licence 025551 (NY)

Record details

NPI number1134796410
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJune 7, 2021
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021

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