| Doctor Name: | DR. JACKIE LAU |
| NPI Number: | 1700288578 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | 38287 |
| Business Practice Address: | 1731 Camino Lindo South Pasadena, CA - 910304131 |
| Business Phone Number: | 3234288011 |
| Business Fax Number: | |
| Mailing Address: | 1819 W Valley Blvd, Unit B ALHAMBRA |
| State: | CA |
| Postal Code: | 918032344 |
| Phone Number: | 6269886211 |
| Fax Number: | 8887007715 |
| NPI Enumeration Date: | 09/23/2014 |
| NPI Last Update Date: | 08/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 38287 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |