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Contact Information

NATHAN A BOSTROM, OTR
118 CAROLINA AVENUE
MONCKS CORNER, SC29461
 Phone: 774-266-1489
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NATHAN A BOSTROM · (Male)

NPI Number 1285151225
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 08/29/2017
Last updated 03/17/2018 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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