Elise Blanton-Hubbard, MOT, OTR/L
Occupational Therapist, Mental Health in Pleasant Hill, CA. Individual provider (NPI-1).
NPI number1184166316
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1184166316
- Entity type
- Individual (NPI-1)
- Name
- Elise Blanton-Hubbard
- Credential
- MOT, OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2016
- Certification date
- Jul 24, 2024
- Last updated
- Jul 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XM0800X | Occupational Therapist, Mental Health | OT16845 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 225X00000X | Occupational Therapist | OT-1656 | ID | |
| 225X00000X | Occupational Therapist | OT16845 | CA |
Practice location
391 Taylor Blvd Ste 100Pleasant Hill, CA 94523-2289
Phone 925-608-6550
Mailing address
1448 Josephine St Apt 2Berkeley, CA 94703-1108
Phone 831-277-8368
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