Organization
PEDIATRIC PATHWAYS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH CLERK BELLIVEAU OTR/L (OWNER/DIRECTOR)
(408) 778-6200
Entity
Organization
Contact information
Practice address
17400 MONTEREY RD STE 2E, MORGAN HILL, CA 95037-7319
(408) 778-6200
(408) 484-1096
Mailing address
17400 MONTEREY RD STE 2E, MORGAN HILL, CA 95037-7319
(408) 778-6200
(408) 484-1096
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT4831
CA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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