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

Samuel Gustafson

Individual provider Occupational Therapist · NPI 1740417575

Samuel Gustafson is an Occupational Therapist in Huntersville, North Carolina. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009

Practice location Address checks out

16405 Northcross Dr Ste G-2
Huntersville, NC 28078-5091
Phone: (704) 439-3406
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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 0000000651 (TN)

Record details

NPI number1740417575
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2009
Last updated in NPPESJune 19, 2009
Mailing address16405 Northcross Dr, Suite G-2, Huntersville, NC 28078-5091

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