Provider Demographics
NPI:1043956097
Name:GALEV, PRISCILA CRISTINA (OTR/L)
Entity Type:Individual
Prefix:
First Name:PRISCILA
Middle Name:CRISTINA
Last Name:GALEV
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17121 GREENTREE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-6760
Mailing Address - Country:US
Mailing Address - Phone:951-388-1020
Mailing Address - Fax:
Practice Address - Street 1:17121 GREENTREE DR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-6760
Practice Address - Country:US
Practice Address - Phone:951-388-1020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23430225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist