Individual
MORGAN GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
165 E INTENDENCIA ST STE 200, PENSACOLA, FL 32502-5805
(805) 469-7555
Mailing address
7381 NAVARRE PKWY UNIT 1301, NAVARRE, FL 32566-7491
(805) 612-6672
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28376
FL
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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