Mr Nicholas Scott Wahlstrand, OTR | |
1291 Craig Ave, Lakeport, CA 95453-5704 | |
(707) 263-6382 | |
Not Available |
Full Name | Mr Nicholas Scott Wahlstrand |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1291 Craig Ave, Lakeport, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730792896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 20478 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Nicholas Scott Wahlstrand, OTR 2509 9th Ave S, Grand Forks, ND 58201-4121 Ph: (305) 394-7655 | Mr Nicholas Scott Wahlstrand, OTR 1291 Craig Ave, Lakeport, CA 95453-5704 Ph: (707) 263-6382 |
Mrs. Unknown Shonduel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1291 Craig Ave, Lakeport, CA 95453 Phone: 707-263-6382 | |
Elizabeth A Karl, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 485 Lake Vista Dr, Lakeport, CA 95453 Phone: 707-889-7240 |