MEDICARE: MR. ERIK HJALMAR WIJTMANS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305003781	VA

General Provider Information

NPI Number	:	1679556112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIK HJALMAR WIJTMANS PT

Provider Business Mailing Address
First Line	:	PO BOX 5982
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23471-0982
Country	:	US
Telephone Number	:	757-474-7490
Fax Number	:	757-474-7931

Provider Business Practice Location Address
First Line	:	1444 KEMPSVILLE RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-7302
Country	:	US
Telephone Number	:	757-474-7490
Fax Number	:	757-474-7931

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	02/28/2025

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