| Doctor Name: | WILBERT LAO |
| NPI Number: | 1003048448 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 070016725 |
| Business Practice Address: | 37 W 26th St Suite 302 New York, NY - 100101006 |
| Business Phone Number: | 7182850588 |
| Business Fax Number: | 7182859323 |
| Mailing Address: | 1815 Summerfield St, Apt A1 RIDGEWOOD |
| State: | NY |
| Postal Code: | 113855839 |
| Phone Number: | 6462392756 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2009 |
| NPI Last Update Date: | 08/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070016725 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |