NPI 1053994806
Jacob Nestor, OT
Practice location
- Address
- 4220 132nd St SE STE 101, Mill Creek, WA 98012-8999
- Phone
- (425) 686-7655
- Mailing address
- 1788 N Willow Woods Dr Unit D, Anaheim, CA 92807-1449
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1053994806
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Apr 2021
- Record last updated
- 29 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.