Individual
LARS ESPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 731-5100
Mailing address
889 BROADWAY, BROOKLYN, NY 11206-5996
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00349100
NJ
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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