Robert Lee Gustitus, DPT
Physical Therapist, Orthopedic in Wixom, MI. Individual provider (NPI-1).
NPI number1104595321
StatusActive
Last updated in NPPESSep 10, 2021
Details
- NPI
- 1104595321
- Entity type
- Individual (NPI-1)
- Name
- Robert Lee Gustitus
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2021
- Certification date
- Sep 10, 2021
- Last updated
- Sep 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | 5501020234 | – | Yes |
Practice location
50200 Dennis CtWixom, MI 48393-2021
Phone 248-229-5000
Mailing address
50200 Dennis CtWixom, MI 48393-2021
Phone 248-229-5000
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