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Contact Information

LARA JACOBSEN, PT
550 KINDERKAMACK RD
ORADELL, NJ07649-1500
 Phone: 201-262-1250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LARA JACOBSEN · (Female)

NPI Number 1558654319
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/25/2011
Last updated 05/25/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PT23450
  • NJ License # 40QA01172900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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