Individual
BROOKE NYSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, MOT
Contact information
Practice address
1100 VAN NESS AVE FL 6, SAN FRANCISCO, CA 94109-6978
(415) 600-3604
Mailing address
420 LAKE ST APT 5, SAN FRANCISCO, CA 94118-1333
(415) 298-3396
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12449
CA
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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