Active NPIIndividual provider

Mr. Marc J Gustafson, OTR/L

Occupational Therapist in Bedford, Massachusetts

NPI Number1174532675
Practice location
200 Springs RD, Bedford, MA 01730-1114
Fax
—
Last updated
July 8, 2007

Marc Jason Gustafson is an Occupational Therapist based in Bedford, MA. Marc Jason Gustafson practices in Bedford, MA and has the professional credentials of OTR/L. The NPI Number for Marc Jason Gustafson is 1174532675 and holds a License No. 8987 (MA). The current practice location address for Marc Jason Gustafson is 200 Springs RD, Bedford, MA 01730-1114 and can be reached out via phone at 781-687-2681.

Provider Profile Details

NPI Number
1174532675
Provider Name
Marc Jason Gustafson
Credential
OTR/L
Provider Entity Type
Individual
Gender
Male
Address
200 Springs RD, Bedford, MA 01730-1114
Phone Number
781-687-2681
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
August 5, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Springs RD
Bedford, MA 01730-1114
Zip
01730-1114
Phone Number
781-687-2681
Bedford, MA 01730Get directions →

Provider Business Mailing Address Details

Address
68 Crest RD
Lynnfield, MA 01940-1904
City
Lynnfield
State
MA
Zip
01940-1904
Phone Number
781-334-4607

License Information

License Number
8987
License State
MA
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Marc J Gustafson, OTR/L?

The NPI number of Mr. Marc J Gustafson, OTR/L is 1174532675. It was assigned on August 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Marc J Gustafson, OTR/L?

Mr. Marc J Gustafson, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 8987.

Where does Mr. Marc J Gustafson, OTR/L practice?

The practice location is 200 Springs RD, Bedford, MA 01730-1114. The office can be reached at 781-687-2681 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174532675 directly on the NPPES registry website.

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