Provider Demographics
NPI:1356434013
Name:LAU, HAHN (RPT)
Entity type:Individual
Prefix:
First Name:HAHN
Middle Name:
Last Name:LAU
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 HUGH DANIEL DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7148
Mailing Address - Country:US
Mailing Address - Phone:205-991-3300
Mailing Address - Fax:205-991-3327
Practice Address - Street 1:120 S ANNISTON AVE
Practice Address - Street 2:
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-2904
Practice Address - Country:US
Practice Address - Phone:256-249-5500
Practice Address - Fax:256-249-5506
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH2015225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51532060OtherBCBS
AL009937653Medicaid
AL009934577Medicaid
AL51532060OtherBCBS
AL009934577Medicaid