Individual
JACOB NESTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4220 132ND ST SE STE 101, MILL CREEK, WA 98012-8999
(425) 686-7655
Mailing address
1788 N WILLOW WOODS DR UNIT D, ANAHEIM, CA 92807-1449
(714) 329-4954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
452077
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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