Healthcare Provider Details

I. General information

NPI: 1184159469
Provider Name (Legal Business Name): EIRIK CHRISTIAN BLYDT-HANSEN P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2017
Last Update Date: 04/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 IMPERIAL HWY PHYSICAL THERAPY DEPARTMENT
DOWNEY CA
90242-3456
US

IV. Provider business mailing address

7601 IMPERIAL HWY PHYSICAL THERAPY DEPARTMENT
DOWNEY CA
90242-3456
US

V. Phone/Fax

Practice location:
  • Phone: 562-385-6799
  • Fax: 562-384-6052
Mailing address:
  • Phone: 562-385-6799
  • Fax: 562-384-6052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT17358
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: