Healthcare Provider Details

I. General information

NPI: 1144957358
Provider Name (Legal Business Name): HAO LIU PHYSICAL THERAPY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: PROF. HOWE LIU

II. Dates (important events)

Enumeration Date: 08/07/2022
Last Update Date: 11/01/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 GRAVIER ST FL 7
NEW ORLEANS LA
70112-2262
US

IV. Provider business mailing address

1900 GRAVIER ST FL 7
NEW ORLEANS LA
70112-2262
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-4288
  • Fax:
Mailing address:
  • Phone: 504-568-4042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number04878
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: