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Jennifer Gustafson, OTR/L — NPI 1043554405, Kennebunk, ME | NPI Central

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NPI 1043554405

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Jennifer Gustafson, OTR/L

NPI 1043554405 · Pediatric Occupational Therapist · Kennebunk, ME

Provider details

NPI number: 1043554405
Entity type: Individual
Primary specialty: Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: OTR/L
Sex: Female
Sole proprietor: Yes
License: OT2570 (ME)

Specialties & taxonomies

Pediatric Occupational TherapistPrimary225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist225X00000XLicense OT2570 (ME)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

45 Portland Rd Ste 71037

Kennebunk, ME 04043-6660

Phone: (207) 358-9422

Approximate (ZIP-level) locationGet directions

More ME providers

Mailing address

45 Portland Rd Ste 71037

Kennebunk, ME 04043-6660

Additional practice locations (1)

146 State House Sta
Augusta, ME 04333-0146
Phone: (207) 624-6660
Fax: (207) 624-6661

Registry dates

Enumerated: 2012-11-24
Last updated: 2024-01-22
Certified: 2024-01-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.