Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORI B GUSTAFSON, PTA
ActiveLORI B GUSTAFSON, PTA is a Occupational Therapist healthcare provider located in VALLEY HEAD, Alabama. NPI 1861952194 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · VALLEY HEAD, AL
Registration Details
- NPI Number
- 1861952194
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2019 (7.3603565601875 yrs)
- Last Updated
- May 3, 2021
- Licenses
-
7501 (TN)PTA10177 (AL)14-03493 (KS)PTA004592 (GA)
Practice Information
- Address
-
3034 COUNTY ROAD 611VALLEY HEAD, AL, 359894623Browse AL providers · Browse ZIP 35989
- Phone
- 9129963567
- Fax
- 8552328604
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
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.