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EVAN GUSTAVSEN, PT, DPT
PT, DPT
Physical Therapist
NPI: 1932754496IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
6426(ID)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 5909 W STATE ST
BOISE, ID 83703 - Phone
- (208) 343-7700
Quick Facts
- NPI
- 1932754496
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 7
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