Individual
MARY HELEN E. GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
310 MAPLE AVE, SUITE 104, BARRINGTON, RI 02806-3430
(401) 247-0500
(401) 247-0507
Mailing address
310 MAPLE AVE, SUITE 104, BARRINGTON, RI 02806-3430
(401) 247-0500
(401) 247-0507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 02230
RI
Other
Enumeration date
10/28/2009
Last updated
05/18/2011
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