Individual
MAY ANNE GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14930 W WIGWAM BLVD, GOODYEAR, AZ 85395-7661
(623) 535-9195
Mailing address
14165 W WELDON AVE, GOODYEAR, AZ 85395-8467
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31748
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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