ETHAN EMMONS

VIRGINIA BEACH, VA
NPI1194360180
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305211904)
Additional Taxonomies2251X0800X Physical Therapist, Orthopedic
Enumeration Date2019-11-13
Last Update Date2021-03-22
Business Address
ETHAN EMMONS DPT
984B LASKIN RD
VIRGINIA BEACH, VA 23451-3905
Phone number: 757-395-6900
Mailing Address
ETHAN EMMONS DPT
907 THOUSAND OAKS DR
VIRGINIA BEACH, VA 23454-3530
Phone number: 804-627-2483