Individual ProviderErik OlsenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address97 Barnes Rd, Wallingford, CT 06492-1885(203) 793-7592(860) 409-4595PECOS EnrollmentBased on the most recent information from CMS, provider Erik Olsen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1841369717Provider TypeIndividualFull NameOlsen, ErikCredentialPTGenderMaleSole ProprietorNoEnumeration Date11/7/2006Last Updated11/23/2015Contact InformationPractice LocationPractice Address97 Barnes Rd, Wallingford, CT 06492-1885Phone(203) 793-7592Fax(203) 793-7397Mailing LocationMailing Address47 N Main St, West Hartford, CT 06107-1926Phone(860) 409-4595Fax(860) 409-4860Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID11556584DescriptionOtherIssuerCAQHMassachusettsID007851DescriptionOtherIssuerLICENSE#Connecticut