Individual provider · Type 1 NPI

Kristina Bostrom, PTA

Physical Therapy Assistant · San Leandro, CA

NPI number 1154765956 Active

Practice location

14766 Washington Ave
San Leandro, CA 94578-4220

Call (510) 352-2211 Map

Mailing address

1435 3rd Ave Apt 104
Oakland, CA 94606-2262

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT 9952 (CA)
Physical Therapy Assistant 225200000XP160061350 (WA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1154765956

Kristina Bostrom, PTA's National Provider Identifier is 1154765956, issued on Apr 23, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Leandro, CA. The record was last updated on Apr 23, 2013.