Gustafson, Terri Eileen

Gustafson, Terri Eileen is an individual health care provider with primary practice located at 3020 S 6Th St , Springfield IL 62703-5915. 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, Terri Eileen can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
3020 S 6Th St Springfield IL 62703-5915
Phone: (217) 528-7541
Fax: (217) 789-2569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.006793 Illinois

Profile Details

NPI number 1841440575
LBN Legal business name Gustafson, Terri Eileen
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2008
Last updated May 22nd, 2020 - about 6 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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