Provider Demographics
NPI:1831724962
Name:ERLANDSSON, KATARINA (PT DPT)
Entity type:Individual
Prefix:DR
First Name:KATARINA
Middle Name:
Last Name:ERLANDSSON
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 1ST AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4814
Mailing Address - Country:US
Mailing Address - Phone:917-903-8613
Mailing Address - Fax:
Practice Address - Street 1:227 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-4126
Practice Address - Country:US
Practice Address - Phone:646-678-4723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY351049146N00000X
NY0353952251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic