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Organization

BE WELL OCCUPATIONAL THERAPY A PROFESSIONAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELISE LEIZEROVICH OTRL (PRESIDENT)
(805) 558-9898
Entity
Organization

Contact information

Practice address
1329 E THOUSAND OAKS BLVD, SUITE 128, THOUSAND OAKS, CA 91362-2824
(805) 494-8430
(805) 494-8385
Mailing address
1329 E THOUSAND OAKS BLVD, SUITE 128, THOUSAND OAKS, CA 91362-2824
(805) 494-8430
(805) 494-8385

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14800
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
899483
FICTITIOUS BUSINESS NAME PERMIT
CA
Enumeration date
02/04/2015
Last updated
02/04/2015
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