Individual
MRS. GINGER RENE GUSTASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
586 SANFORD DR, FORT MYERS, FL 33919-3134
(239) 265-8737
Mailing address
586 SANFORD DR, FORT MYERS, FL 33919-3134
(239) 265-8737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12044
FL
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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