Kenneth Gustafson
Kenneth Gustafson is a Physical Therapy Assistant in Woodland Hills, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
23888 Mulholland Drive MS # 270Woodland Hills, CA 91364
Phone: (818) 875-1050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence AT 4143 (CA) |
|---|
Record details
| NPI number | 1144640723 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 22, 2014 |
| Last updated in NPPES | April 22, 2014 |
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