| Camille Michelle Gustafson, | |
|
1552 Mall Dr, Iowa City, IA 52240-3110 | |
| (319) 351-5437 | |
| Not Available |
| Full Name | Camille Michelle Gustafson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1552 Mall Dr, Iowa City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689989550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 002077 (Iowa) | Primary |
| Provider Name | Blue Stone Therapy Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932797297 PECOS PAC ID: 1850707787 Enrollment ID: O20210301002214 |
| Mailing Address | Practice Location Address |
|---|---|
| Camille Michelle Gustafson, 821 1/2 West St, Mantorville, MN 55955-8056 Ph: (507) 384-2916 | Camille Michelle Gustafson, 1552 Mall Dr, Iowa City, IA 52240-3110 Ph: (319) 351-5437 |
Taran Volz, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 540 E. Jefferson St., Ste. 302, Iowa City, IA 52245 Phone: 319-339-3611 Fax: 319-339-3878 | |
Therese B Molloy, OT/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 720 S Dubuque St, Iowa City, IA 52240 Phone: 319-270-8492 Fax: 319-373-3197 | |
Ms. Mary Elisabeth Scheck, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1552 Mall Dr, Iowa City, IA 52240 Phone: 319-351-5437 | |
Ms. Jan Marie Jasper, OTR/L, ATP Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Hawkins Drive, Room 333, Iowa City, IA 52242 Phone: 319-353-6429 | |
Patricia I Carlson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 E. Jefferson St., Ste 302, Iowa City, IA 52245 Phone: 319-339-3611 Fax: 319-339-3878 | |
Steven Eugene Sabo Jr., OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1705 1st Avenue South, Suite C, Iowa City, IA 52240 Phone: 319-337-8818 Fax: 319-337-8308 | |
Camila Sanchez, DPT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 E Jefferson St Ste 302, Iowa City, IA 52245 Phone: 319-339-3611 Fax: 319-339-3878 |