Individual provider · Type 1 NPI

Samuel Taylor Gustafson, OT

Occupational Therapist · Manchester, NH

NPI number 1740417575 Active

Practice location

655 S Willow St Ste 128
Manchester, NH 03103-5723

Call (800) 995-2673 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X0000000651 (TN)
Occupational Therapist Primary 225X00000X6244 (AL)

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 1740417575

Samuel Taylor Gustafson, OT's National Provider Identifier is 1740417575, issued on Jun 19, 2009. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Manchester, NH. The record was last updated on Oct 27, 2026.