Individual
CARA GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
120 VASSAR ST, CAMBRIDGE, MA 02139
(617) 253-4908
Mailing address
120 VASSAR ST, CAMBRIDGE, MA 02139
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2241
MA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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