LORI GUSTAFSON, PTA

Physical Therapy Assistant

Active Individual
NPI: 1861952194

Practice Address

3034 COUNTY ROAD 611
Valley Head, AL 35989

Phone: (912) 996-3567

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes PTA004592 (GA)

Frequently Asked Questions

NPI 1861952194 is the National Provider Identifier for LORI GUSTAFSON, PTA, a Physical Therapy Assistant provider located in Valley Head, AL. This NPI was enumerated on March 22, 2019.
LORI GUSTAFSON, PTA practices at 3034 COUNTY ROAD 611, Valley Head, AL 35989.

Quick Facts

NPI
1861952194
Type
Individual
Enumerated
Mar 22, 2019
Last Updated
May 3, 2021

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