National Provider Identifier
Elizabeth Gustafson, PT
Elizabeth Gustafson, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 341-9150.
Profile Overview
- NPI
- 1609050897
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- December 24, 2007
- Last Updated
- December 24, 2007
Practice Location
- 4901 Lac De Ville Blvd
- Buildig D, Suite 1210
- Rochester, NY 14618
Phone: (585) 341-9150
Mailing Address
- 4901 Lac De Ville Boulevard
- Building D, Suite 110
- Rochester, NY 14618
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1609050897
- Entity Type
- Individual
- Last Name
- Gustafson
- First Name
- Elizabeth
- Name Prefix
- Miss
- Credential
- PT
- Mailing Street Address
- 4901 Lac De Ville Boulevard
- Mailing Address Line 2
- Building D, Suite 110
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618
- Mailing Country
- US
- Mailing Phone
- (585) 341-9150
- Practice Street Address
- 4901 Lac De Ville Blvd
- Practice Address Line 2
- Buildig D, Suite 1210
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618
- Practice Country
- US
- Practice Phone
- (585) 341-9150
- Enumeration Date
- December 24, 2007
- Last Updated
- December 24, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)