Individual
ALEXANDRA GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
1830 MAIN ST APT 1, TEWKSBURY, MA 01876-4712
(978) 710-6254
(978) 710-6879
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23462
MA
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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