Organization
BLEU PHYSICAL THERAPY AND PERFORMANCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKIE LAU D.P.T. (OWNER)
(323) 428-8011
Entity
Organization
Contact information
Practice address
1819 W VALLEY BLVD # B, ALHAMBRA, CA 91803-2344
(323) 428-8011
Mailing address
1731 CAMINO LINDO, SOUTH PASADENA, CA 91030-4131
(323) 428-8011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
38287
CA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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