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Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA NYSTROM OTR/L (SENIOR OCCUPATIONAL THERAPIST)
(408) 580-6194
Entity
Organization
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4000
Mailing address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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