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Individual

HANNA CHRISTINE GUSTAFSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, CLT

Contact information

Practice address
380 EMPIRE RD, LAFAYETTE, CO 80026-2677
(720) 890-1091
(729) 890-1098
Mailing address
605 AVANTE CT, LAFAYETTE, CO 80026-2505
(509) 670-8907

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15350
CO

Other

Enumeration date
03/27/2018
Last updated
03/27/2018
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