Provider Demographics
NPI:1659331098
Name:CLEVELAND, GENEVIEVE MARY BILKIEWICZ (PT)
Entity Type:Individual
Prefix:MRS
First Name:GENEVIEVE
Middle Name:MARY BILKIEWICZ
Last Name:CLEVELAND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15251 NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2400
Mailing Address - Country:US
Mailing Address - Phone:408-356-1990
Mailing Address - Fax:408-356-4736
Practice Address - Street 1:15251 NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2400
Practice Address - Country:US
Practice Address - Phone:408-356-1990
Practice Address - Fax:408-356-4736
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11242225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist