MEDICARE: MS. YUMI BELLIZZI OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	6246	CA

General Provider Information

NPI Number	:	1285788737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YUMI BELLIZZI OTR

Provider Business Mailing Address
First Line	:	PO BOX 1021
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-3943
Country	:	US
Telephone Number	:	510-748-0903
Fax Number	:	510-748-0903

Provider Business Practice Location Address
First Line	:	1330 BROADWAY STE 930
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612
Country	:	US
Telephone Number	:	510-748-0903
Fax Number	:	510-748-0903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/08/2007

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