Provider Demographics
NPI:1780043620
Name:LAO & CHENG PHYISCAL THERAPY
Entity Type:Organization
Organization Name:LAO & CHENG PHYISCAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MONA LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:201-936-2660
Mailing Address - Street 1:32 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-4869
Mailing Address - Country:US
Mailing Address - Phone:201-936-2660
Mailing Address - Fax:
Practice Address - Street 1:32 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-4869
Practice Address - Country:US
Practice Address - Phone:201-936-2660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-21
Last Update Date:2016-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ01062100174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty