Individual provider · Type 1 NPI

Martina Gustafson

Occupational Therapist · Peoria, IL

NPI number 1487975272 Active

Practice location

3611 N Rochelle Ln
Peoria, IL 61604-1038

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056000665 (IL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1487975272

Martina Gustafson's National Provider Identifier is 1487975272, issued on Jun 16, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Peoria, IL. The record was last updated on Jun 16, 2010.