LARS GUSTAFSON, MPT
Physical Therapist
Active
Individual
NPI: 1023116506
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 6561 (MN) |
Frequently Asked Questions
NPI 1023116506 is the National Provider Identifier for LARS GUSTAFSON, MPT, a Physical Therapist provider located in Brainerd, MN. This NPI was enumerated on September 20, 2006.
LARS GUSTAFSON, MPT practices at 224 N 5TH ST, Brainerd, MN 56401.
Quick Facts
- NPI
- 1023116506
- Type
- Individual
- Enumerated
- Sep 20, 2006
- Last Updated
- Jul 8, 2007
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