MEDICARE: CINDY LEUNG-GALISATUS OT

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	2000	CA

General Provider Information

NPI Number	:	1245486703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY LEUNG-GALISATUS OT

Provider Business Mailing Address
First Line	:	518 HILLSIDE RD
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94062-3345
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	518 HILLSIDE RD
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94062-3345
Country	:	US
Telephone Number	:	650-780-0255
Fax Number	:

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

Provider Enumeration Date	:	08/14/2008
Last Update Date	:	08/14/2008

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