Gustafson, Jennifer Helen

Gustafson, Jennifer Helen is an sole proprietor health care provider with primary practice located at 45 Portland Rd Ste 71037 , Kennebunk ME 04043-6660. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Gustafson, Jennifer Helen can be contacted via phone (207) 358-9422.

Contact Information

Primary practice address
45 Portland Rd Ste 71037 Kennebunk ME 04043-6660
Phone: (207) 358-9422
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT2570 Maine
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1043554405
LBN Legal business name Gustafson, Jennifer Helen
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2012
Last updated Jan 22nd, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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