Individual
JANELLE MARIE GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1 VETERANS DR # 135-R, MINNEAPOLIS, MN 55417-2309
(763) 242-4930
Mailing address
1 VETERANS DR # 135-R, MINNEAPOLIS, MN 55417-2309
(763) 242-4930
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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