Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER HELEN GUSTAFSON, OTR/L
Active Sole ProprietorJENNIFER HELEN GUSTAFSON, OTR/L is a Pediatric Occupational Therapist healthcare provider located in KENNEBUNK, Maine. NPI 1043554405 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · KENNEBUNK, ME
Registration Details
- NPI Number
- 1043554405
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 24, 2012 (13.708237856377 yrs)
- Last Updated
- Jan 22, 2024
- License
-
OT2570 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
45 PORTLAND RD STE 71037KENNEBUNK, ME, 040436660Browse ME providers · Browse ZIP 04043
- Phone
- 2073589422
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
- Additional Specialty
- Pediatric Occupational Therapist
Other Pediatric Occupational Therapist Providers in KENNEBUNK, ME
| Name | Credential | NPI |
|---|---|---|
| MRS. TRACY LYNN MASON | OTR/L | 1174838361 |
| ADRIENNE NOELLE BEATTY | — | 1184407983 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.