Gustafsson, Mary Grace Cruz

Gustafsson, Mary Grace Cruz is an sole proprietor health care provider with primary practice located at 21520 Burbank Blvd Apt 102 , Woodland Hills CA 91367-7052. 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. Gustafsson, Mary Grace Cruz can be contacted via phone (818) 405-3646.

Contact Information

Primary practice address
21520 Burbank Blvd Apt 102 Woodland Hills CA 91367-7052
Phone: (818) 405-3646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 13096 California

Profile Details

NPI number 1033507967
LBN Legal business name Gustafsson, Mary Grace Cruz
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2014
Last updated Jun 11th, 2020 - about 4 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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