Individual
KRISTINA BOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14766 WASHINGTON AVE, SAN LEANDRO, CA 94578-4220
(510) 352-2211
Mailing address
1435 3RD AVE APT 104, OAKLAND, CA 94606-2262
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 9952
CA
225200000X
Physical Therapy Assistant
P160061350
WA
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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