Provider Demographics
NPI:1073536033
Name:LEONG, MARGARET JEAN (PT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:JEAN
Last Name:LEONG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 PESCADERO TER
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5970
Mailing Address - Country:US
Mailing Address - Phone:408-732-7073
Mailing Address - Fax:408-732-7391
Practice Address - Street 1:377 PESCADERO TER
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-5970
Practice Address - Country:US
Practice Address - Phone:408-732-7073
Practice Address - Fax:408-732-7391
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT20913225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist