Gustafson, Jennifer Lynn

Gustafson, Jennifer Lynn is an individual health care provider with primary practice located at 3101 Less Traveled Trl , Indian Trail NC 28079-7801. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gustafson, Jennifer Lynn can be contacted via phone (980) 328-0808.

Contact Information

Primary practice address
3101 Less Traveled Trl Indian Trail NC 28079-7801
Phone: (980) 328-0808
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 6563 North Carolina

Profile Details

NPI number 1922384940
LBN Legal business name Gustafson, Jennifer Lynn
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2011
Last updated Oct 24th, 2011 - about 14 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922384940 NPPES
North Carolina Other 6563 OCCUPATIONAL THERAPIST

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