DANIEL LARSEN, PTA

Physical Therapy Assistant

Active Individual
NPI: 1265392104

Practice Address

23-00 ROUTE 208 STE 1-6
Fair Lawn, NJ 07410

Phone: (201) 796-1138

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 40QB00401700 (NJ)

Frequently Asked Questions

NPI 1265392104 is the National Provider Identifier for DANIEL LARSEN, PTA, a Physical Therapy Assistant provider located in Fair Lawn, NJ. This NPI was enumerated on November 13, 2025.
DANIEL LARSEN, PTA practices at 23-00 ROUTE 208 STE 1-6, Fair Lawn, NJ 07410.

Quick Facts

NPI
1265392104
Type
Individual
Enumerated
Nov 13, 2025
Last Updated
Nov 13, 2025

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