Doctor Name: | ERIK THORVALD IVERSEN |
NPI Number: | 1093762486 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT 29275 |
Business Practice Address: | 2585 Cochran St Suite A Simi Valley, CA - 930652602 |
Business Phone Number: | 8055840001 |
Business Fax Number: | 8055279135 |
Mailing Address: | 2585 Cochran St, Suite A SIMI VALLEY |
State: | CA |
Postal Code: | 930652602 |
Phone Number: | 8055840001 |
Fax Number: | 8055279135 |
NPI Enumeration Date: | 05/30/2006 |
NPI Last Update Date: | 09/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 29275 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |