Individual
THOMAS MATTHEW GUASTAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1282 GOODPASTURE ISLAND RD, EUGENE, OR 97401
(541) 246-2828
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09582
OR
Other
Enumeration date
07/11/2018
Last updated
07/12/2018
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