Martina Gustafson
Martina Gustafson is an Occupational Therapist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
3611 N Rochelle LnPeoria, IL 61604-1038
Phone: (309) 686-4169
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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 056000665 (IL) |
|---|
Record details
| NPI number | 1487975272 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 16, 2010 |
| Last updated in NPPES | June 16, 2010 |
| Mailing address | 3611 N Rochelle Ln, Peoria, IL 61604-1038 |
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