Individual provider · Type 1 NPI

Diane Gustaw, QMHA

Rehabilitation Practitioner · Las Vegas, NV

NPI number 1972892792 Active

Practice location

8777 W Maule Avenue, 2074
Las Vegas, NV 89148-4894

Call (631) 839-2462 Map

Mailing address

8777 W Maule Ave, 2074
Las Vegas, NV 89148-4868

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1972892792

Diane Gustaw, QMHA's National Provider Identifier is 1972892792, issued on Apr 1, 2011. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 1, 2011.