Mrs Laura Michele Nystrom, OTR/L | |
1425 S Main St, Walnut Creek, CA 94596-5318 | |
(925) 295-4030 | |
Not Available |
Full Name | Mrs Laura Michele Nystrom |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Physical Rehabilitation |
Location | 1425 S Main St, Walnut Creek, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609502137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0019X | Occupational Therapist - Physical Rehabilitation | 15471 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mrs Laura Michele Nystrom, OTR/L 1316 Encore Dr, Fairfield, CA 94534-3502 Ph: () - | Mrs Laura Michele Nystrom, OTR/L 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-4030 |
Eden Natalie Wong, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2801 Shadelands Dr, Walnut Creek, CA 94598 Phone: 800-967-4667 | |
Crystal Fuentez, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2801 Shadelands Dr, Walnut Creek, CA 94598 Phone: 925-794-8151 | |
Dr. Hoi Ki Kan, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3050 Del Hombre Ln Apt 408, Walnut Creek, CA 94597 Phone: 510-588-6392 | |
Allison Gillies, OTR/L, CBIS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1914 Tice Valley Blvd, Walnut Creek, CA 94595 Phone: 925-930-0774 | |
Linda Fung, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1580 Geary Rd, Walnut Creek, CA 94597 Phone: 925-954-1436 | |
Ms. Virginia Virginia Charles Bodner, MS OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1986 Fair Ridge Ct, Walnut Creek, CA 94597 Phone: 973-901-1495 | |
Lauren Baker, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2625 Shadelands Dr, Walnut Creek, CA 94598 Phone: 925-939-8585 |