Basic Information
Provider Information
NPI: 1740766898
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINN
FirstName: EMILY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 600 OAKMONT LN STE 600C
Address2:  
City: WESTMONT
State: IL
PostalCode: 605595548
CountryCode: US
TelephoneNumber: 6305756200
FaxNumber: 6309285080
Practice Location
Address1: 7344 FODOR RD
Address2:  
City: NEW ALBANY
State: OH
PostalCode: 430548336
CountryCode: US
TelephoneNumber: 6148552570
FaxNumber: 6148552580
Other Information
ProviderEnumerationDate: 07/12/2018
LastUpdateDate: 07/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT014716OHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


Home