MEDICARE: GLORIA LAU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0019X	Physical Rehabilitation Occupational Therapist

General Provider Information

NPI Number	:	1952138158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA LAU

Provider Business Mailing Address
First Line	:	2385 W. BELLFORT AVE
Second Line	:	#100
City	:	HOUSTON
State	:	TX
Zip	:	77054
Country	:	US
Telephone Number	:	713-497-5335
Fax Number	:

Provider Business Practice Location Address
First Line	:	2385 W BELLFORT AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054
Country	:	US
Telephone Number	:	713-322-1212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2024
Last Update Date	:	11/18/2025

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Directions to “ GLORIA LAU ” Practice Location

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