Individual
DANIEL P LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
23-00 ROUTE 208 STE 1-6, FAIR LAWN, NJ 07410-1558
(201) 796-1138
Mailing address
23 HARLOW CRES, FAIR LAWN, NJ 07410-5236
(201) 691-5164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00401700
NJ
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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