Provider Demographics
NPI:1518062801
Name:LANDSWICK, ERIK TIMOTHY (MPT)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:TIMOTHY
Last Name:LANDSWICK
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 E WALNUT ST
Mailing Address - Street 2:STE 240
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-5348
Mailing Address - Country:US
Mailing Address - Phone:626-840-7515
Mailing Address - Fax:
Practice Address - Street 1:959 E WALNUT ST
Practice Address - Street 2:STE 240
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1451
Practice Address - Country:US
Practice Address - Phone:626-795-2390
Practice Address - Fax:626-795-2391
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 247042251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic