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NPI Code Detail

MEDICARE: SHERILYN CHAU OTR/L

MEDICARE: SHERILYN CHAU OTR/L
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
1225X00000XOccupational Therapist19121CA

General Provider Information

NPI Number : 1619591039
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERILYN CHAU OTR/L
Provider Business Mailing Address
First Line : 446 POPLAR AVE
Second Line :
City : SAN BRUNO
State : CA
Zip : 94066-4204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 890 EL CAMINO REAL
Second Line :
City : SAN BRUNO
State : CA
Zip : 94066-3137
Country : US
Telephone Number : 650-583-7768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2020
Last Update Date : 06/01/2020

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Directions to “ SHERILYN CHAU OTR/L” Practice Location

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