Individual
ELLYETTE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 SAN RAMON VALLEY BLVD STE 100, DANVILLE, CA 94526-4057
(925) 743-8905
(925) 743-9614
Mailing address
2311 IVY HILL WAY APT 824, SAN RAMON, CA 94582-4316
(949) 422-7943
(925) 743-9614
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
3140
CA
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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