Active NPIIndividual providerSole proprietor

Traci Gustafson, COTA/L

Occupational Therapy Assistant in Hopkinton, Massachusetts

NPI Number1528314028
Practice location
50 W Main St, Hopkinton, MA 01748-1672
Fax
—
Last updated
August 2, 2012

Traci Gustafson is an Occupational Therapy Assistant based in Hopkinton, MA. Traci Gustafson practices in Hopkinton, MA and has the professional credentials of COTA/L. The NPI Number for Traci Gustafson is 1528314028 and holds a License No. 2725 (MA). The current practice location address for Traci Gustafson is 50 W Main St, Hopkinton, MA 01748-1672 and can be reached out via phone at 508-435-0120.

Provider Profile Details

NPI Number
1528314028
Provider Name
Traci Gustafson
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
50 W Main St, Hopkinton, MA 01748-1672
Phone Number
508-435-0120
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 2, 2012
Last Update Date
August 2, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 W Main St
Hopkinton, MA 01748-1672
Zip
01748-1672
Phone Number
508-435-0120
Hopkinton, MA 01748Get directions →

Provider Business Mailing Address Details

Address
19 Bucky Dr Unit 19
Bellingham, MA 02019-2849
City
Bellingham
State
MA
Zip
02019-2849

License Information

License Number
2725
License State
MA
Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Traci Gustafson, COTA/L?

The NPI number of Traci Gustafson, COTA/L is 1528314028. It was assigned on August 2, 2012 and is currently active in the NPPES registry.

What is the specialty of Traci Gustafson, COTA/L?

Traci Gustafson, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 2725.

Where does Traci Gustafson, COTA/L practice?

The practice location is 50 W Main St, Hopkinton, MA 01748-1672. The office can be reached at 508-435-0120 (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 1528314028 directly on the NPPES registry website.

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