Provider Demographics
NPI:1669888137
Name:BELLEAU, LOUISE ELLIOTT (MS, OTR)
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:ELLIOTT
Last Name:BELLEAU
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2768 NOTTINGHAM SQ
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-2589
Mailing Address - Country:US
Mailing Address - Phone:970-214-1388
Mailing Address - Fax:
Practice Address - Street 1:2768 NOTTINGHAM SQ
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2589
Practice Address - Country:US
Practice Address - Phone:970-214-1388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-06
Last Update Date:2014-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1048225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics