Doctor Name: | MARY HELEN E. GUSTAFSON |
NPI Number: | 1821324740 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT 02230 |
Business Practice Address: | 310 Maple Ave Suite 104 Barrington, RI - 028063430 |
Business Phone Number: | 4012470500 |
Business Fax Number: | 4012470507 |
Mailing Address: | 310 Maple Ave, Suite 104 BARRINGTON |
State: | RI |
Postal Code: | 028063430 |
Phone Number: | 4012470500 |
Fax Number: | 4012470507 |
NPI Enumeration Date: | 10/28/2009 |
NPI Last Update Date: | 05/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 02230 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |