Provider Demographics
NPI:1982835039
Name:HAN, LU (PT)
Entity Type:Individual
Prefix:
First Name:LU
Middle Name:
Last Name:HAN
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 1:1406 73RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2112
Mailing Address - Country:US
Mailing Address - Phone:718-908-8270
Mailing Address - Fax:347-694-8954
Practice Address - Street 1:517 BAY RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209
Practice Address - Country:US
Practice Address - Phone:718-569-9954
Practice Address - Fax:347-694-8954
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002120171100000X
NY031568225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171100000XOther Service ProvidersAcupuncturist