Provider Demographics
NPI:1033883756
Name:KATARINA PT LLC
Entity Type:Organization
Organization Name:KATARINA PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ERLANDSSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:973-845-8972
Mailing Address - Street 1:25 WILMER ST APT A31
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2569
Mailing Address - Country:US
Mailing Address - Phone:917-903-8613
Mailing Address - Fax:
Practice Address - Street 1:25 WILMER ST APT A31
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-2569
Practice Address - Country:US
Practice Address - Phone:973-845-8972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy