Individual
BENSEN LAROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 HARBOR TERRACE APT 3K, PERTH AMBOY, NJ 08861
(305) 799-8494
Mailing address
10 HARBOR TERRACE APT 3K, PERTH AMBOY, NJ 08861
(305) 799-8494
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010874-1
NY
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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