Gustafson, Christine M

Gustafson, Christine M is an individual health care provider with primary practice located at 3616 N Main St , Rockford IL 61103-2159. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gustafson, Christine M can be contacted via phone (815) 877-5932.

Contact Information

Primary practice address
3616 N Main St Rockford IL 61103-2159
Phone: (815) 877-5932
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070003815 Illinois

Profile Details

NPI number 1194937516
LBN Legal business name Gustafson, Christine M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2007
Last updated Aug 1st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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