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Individual

PROF. ANDREA NICOLE KJELSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1200 CONCORD AVE STE 100, CONCORD, CA 94520-4969
(888) 839-6101
Mailing address
3660 WILLIAM WAY, SACRAMENTO, CA 95821-3136
(916) 425-2419

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12268
CA

Other

Enumeration date
04/10/2023
Last updated
04/11/2023
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