Individual
GRACE WONG LEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3407 GILMAN CMN, FREMONT, CA 94538-2294
(510) 440-1383
Mailing address
3407 GILMAN CMN, FREMONT, CA 94538-2294
(510) 440-1383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11048
CA
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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