Individual
MS. KATHRYN RACHAEL GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
35 N 28TH ST, SUPERIOR, WI 54880-5557
(320) 583-6118
Mailing address
115 PLEASANT AVE NE, COKATO, MN 55321-4534
(320) 583-6118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8984-26
WI
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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