Basic Information
| Provider Information | |||||||||
| NPI: | 1497950695 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GILBERT | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | DOREN | ||||||||
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| Credential: | MPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2321 25TH ST S | ||||||||
| Address2: | #111 | ||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222064802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5713122703 | ||||||||
| FaxNumber: | 7036914933 | ||||||||
| Practice Location | |||||||||
| Address1: | 8320 OLD COURTHOUSE RD | ||||||||
| Address2: | STE. 401 | ||||||||
| City: | VIENNA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221823831 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7032887864 | ||||||||
| FaxNumber: | 7036914933 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | 2305205033 | VA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.