Basic Information
| Provider Information | |||||||||
| NPI: | 1750511606 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COATES | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | IRENE | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 112 E WEST ST | ||||||||
| Address2: | UNIT 304 | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212304337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3152122745 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2227 OLD EMMORTON RD | ||||||||
| Address2: | SUITE 121 | ||||||||
| City: | BEL AIR | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210156187 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4435120423 | ||||||||
| FaxNumber: | 4435120425 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2009 | ||||||||
| LastUpdateDate: | 07/15/2013 | ||||||||
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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 | 225100000X | 24510 | MD | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 31598 | NY | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.