Individual
SUSAN GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
9600 VETERANS DRIVE, TACOMA, WA 98493-0001
(253) 582-8440
Mailing address
9600 VETERANS DRIVE, TACOMA, WA 98493-0001
(253) 582-8440
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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