Individual
DAVID LEOR GUSTAFSON
Active
Individual
DAVID LEOR GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P15717
NC
225100000X
Physical Therapist
PT011099
GA
Other
Enumeration date
08/01/2013
Last updated
06/12/2026
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