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-- KRISTINA BOSTROM -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1154765956
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
14766 WASHINGTON AVE, SAN LEANDRO, CA, 945784220
Phone
(510) 352-2211

Specialties & Taxonomies

Physical Therapy Assistant Primary License: CA #AT 9952
Physical Therapy Assistant License: WA #P160061350

All Addresses

MAILING

1435 3RD AVE APT 104

OAKLAND, CA, 946062262

LOCATION

14766 WASHINGTON AVE

SAN LEANDRO, CA, 945784220

(510) 352-2211