Individual
ERIANNE MARIE GUSTAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 861-6255
Mailing address
616 4TH AVE W, #206, SEATTLE, WA 98119-4482
(612) 251-3098
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60288336
WA
Other
Enumeration date
07/29/2012
Last updated
07/29/2012
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