Lara Jacobsen, PT

NPI #1558654319 in Oradell, New Jersey

Provider Information

NPI Number: 1558654319
Entity Type: Individual
Name: Lara Jacobsen, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 25, 2011
Last Updated: May 25, 2011

Practice Location

Address: 550 KINDERKAMACK RD
City: Oradell
State: New Jersey
ZIP Code: 07649-1500
Phone: (201) 262-1250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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