Individual
LARS ALEXANDAR N BENGTSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
42365 SOAVE DR, STE 200, BRAMBLETON, VA 20148-4886
(571) 349-3116
Mailing address
42365 SOAVE DR, STE 200, BRAMBLETON, VA 20148-4886
(571) 349-3116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209942
VA
Other
Enumeration date
11/10/2015
Last updated
02/24/2017
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