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Individual

MRS. ELIZABETH CLERK BELLIVEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
17400 MONTEREY RD, MORGAN HILL, CA 95037-7318
(408) 778-6200
(408) 484-1096
Mailing address
17400 MONTEREY RD, SUITE 2E, MORGAN HILL, CA 95037-7318
(408) 778-6200
(408) 484-1096

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4831
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1154613495
BUSINESS NPI
CA
Enumeration date
02/21/2007
Last updated
08/10/2015
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