Provider Demographics
NPI:1467898825
Name:BEKOWIES, PAUL DAVID (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:DAVID
Last Name:BEKOWIES
Suffix:
Gender:M
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 HARVEY DR
Mailing Address - Street 2:APT. 218
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3609
Mailing Address - Country:US
Mailing Address - Phone:925-949-8873
Mailing Address - Fax:
Practice Address - Street 1:1001 HARVEY DR
Practice Address - Street 2:APT. 218
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3609
Practice Address - Country:US
Practice Address - Phone:925-949-8873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-13
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13426225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist