KENNETH GUSTAFSON
Physical Therapy Assistant
Active
Individual
NPI: 1144640723
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | AT 4143 (CA) |
Frequently Asked Questions
NPI 1144640723 is the National Provider Identifier for KENNETH GUSTAFSON, a Physical Therapy Assistant provider located in Woodland Hills, CA. This NPI was enumerated on April 22, 2014.
KENNETH GUSTAFSON practices at 23888 MULHOLLAND DRIVE, MS # 270, Woodland Hills, CA 91364.
Quick Facts
- NPI
- 1144640723
- Type
- Individual
- Enumerated
- Apr 22, 2014
- Last Updated
- Apr 22, 2014
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