Provider Demographics
NPI:1821266289
Name:SHIU MAN LEUNG PHYSICAL THERAPIST INC
Entity Type:Organization
Organization Name:SHIU MAN LEUNG PHYSICAL THERAPIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:SHIUMAN
Authorized Official - Last Name:LEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:626-626-7079
Mailing Address - Street 1:P.O. BOX 771502
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91077-1502
Mailing Address - Country:US
Mailing Address - Phone:626-626-7079
Mailing Address - Fax:626-626-7069
Practice Address - Street 1:801 W VALLEY BLVD STE 206
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3257
Practice Address - Country:US
Practice Address - Phone:626-626-7079
Practice Address - Fax:626-626-7069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11322171100000X
225100000X
CAPT33774225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty