Individual
KELLI MEREDITH CLEVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3901 LAS POSAS RD STE 8, CAMARILLO, CA 93010-1502
(805) 585-3706
(805) 384-1786
Mailing address
5720 RALSTON ST STE 200, VENTURA, CA 93003-7844
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
00003746
WA
225XH1200X
Hand Occupational Therapist
Primary
12210
CA
225XH1200X
Hand Occupational Therapist
OT1059774
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12210
STATE LICENSE
CA
Enumeration date
08/05/2015
Last updated
11/27/2021
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