Healthcare Provider Details

I. General information

NPI: 1790621464
Provider Name (Legal Business Name): ANNA STROMBOM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNIE STROMBOM

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4987 GOLDEN FOOTHILL PKWY STE 100
EL DORADO HILLS CA
95762-9364
US

IV. Provider business mailing address

768 DUNCAN WAY
FOLSOM CA
95630-8801
US

V. Phone/Fax

Practice location:
  • Phone: 916-365-2411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: