Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Nicholas Scott Wahlstrand, OTR

Individual provider Occupational Therapist · NPI 1730792896

Mr. Nicholas Scott Wahlstrand, OTR is an Occupational Therapist in Lakeport, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1291 Craig Ave
Lakeport, CA 95453-5704
Phone: (707) 263-6382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 20478 (CA)

Record details

NPI number1730792896
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorYes
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 27, 2020

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