Organization
BE WELL OCCUPATIONAL THERAPY A PROFESSIONAL CORP
Active
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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