Individual provider · Type 1 NPI
Daniel P. Larsen, PTA
Physical Therapy Assistant · Fair Lawn, NJ
Practice location
23-00 Route 208 Ste 1-6
Fair Lawn, NJ 07410-1558
Mailing address
23 Harlow Cres
Fair Lawn, NJ 07410-5236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 40QB00401700 (NJ) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
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About NPI 1265392104
Daniel P. Larsen, PTA's National Provider Identifier is 1265392104, issued on Nov 13, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fair Lawn, NJ. The record was last updated on Nov 13, 2025.