DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDALL LEE GUSTAFSON, PT

Active

RANDALL LEE GUSTAFSON, PT is a Physical Therapy Assistant healthcare provider located in SAN DIEGO, California. NPI 1275518946 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAN DIEGO, CA

Registration Details

NPI Number
1275518946
Provider Type
Individual
Gender
Male
NPI Issued
Dec 14, 2005 (20.669615895713 yrs)
Last Updated
Jul 8, 2007
License
PT11826 (CA)

Practice Information

Address
7510 CLAIREMONT MESA BLVD
#103
SAN DIEGO, CA, 92111
Browse CA providers · Browse ZIP 92111
Phone
8582772277
Fax
8582777358
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SAN DIEGO, CA

Name Credential NPI
JAMES WRAY P.T. 1942203328
MR. NORMAN G. HARDMAN PT 1306840657
MS. GLORIA THERESA SIGAFOOS PT OCS CHT 1851392120
CHRISTI LEE DUFFIELD PT 1750366845
LYNN STEIGERWALD PT 1841275922
SEAN MICHAEL MCKEOWN PHYSICAL THERAPIST 1902881881
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.