Provider Demographics
NPI:1093063604
Name:ENGELHARDT, EMILY THERESA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:THERESA
Last Name:ENGELHARDT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 N NEGLEY AVE
Mailing Address - Street 2:APARTMENT 10
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1575
Mailing Address - Country:US
Mailing Address - Phone:610-914-1521
Mailing Address - Fax:
Practice Address - Street 1:1003 N NEGLEY AVE
Practice Address - Street 2:APARTMENT 10
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1575
Practice Address - Country:US
Practice Address - Phone:610-914-1521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022151225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist