Bostrom, Nathan Andrew
Bostrom, Nathan Andrew is an individual health care provider with primary practice located at 9375 Conway Dr , Fort Benning GA 31905-5920. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Bostrom, Nathan Andrew can be contacted via phone (774) 266-1489.Contact Information
Primary practice address
9375 Conway Dr
Fort Benning GA 31905-5920
Phone: (774) 266-1489
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1285151225 |
|---|---|
| LBN Legal business name | Bostrom, Nathan Andrew |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2017 |
| Last updated | Aug 4th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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