Individual
EMILY JEAN GUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
576 JEFFERSON AVENUE, MCDONALD ARMY HEALTH CENTER, FORT EUSTIS, VA 23604-5548
(757) 314-7522
(757) 314-7524
Mailing address
1109 SOUTH SLEEPY CREEK ROAD, CROSS JUNCTION, VA 22625
(540) 877-0946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206980
VA
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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