Individual
ELIZABETH BALIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2540 CARMICHAEL WAY, CARMICHAEL, CA 95608-5314
(916) 482-1465
Mailing address
8601 ZIRCON CREST CT, ELK GROVE, CA 95624-2851
(916) 821-6986
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2586
CA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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