Provider Demographics
NPI:1326234030
Name:MINTNER, EMILY M (PHSYICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:M
Last Name:MINTNER
Suffix:
Gender:F
Credentials:PHSYICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6843 N CITRUS AVE
Mailing Address - Street 2:BLDG 2, UNIT T
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34428
Mailing Address - Country:US
Mailing Address - Phone:352-322-6093
Mailing Address - Fax:352-794-3243
Practice Address - Street 1:6843 N CITRUS AVE
Practice Address - Street 2:BLDG 2, UNIT T
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34428
Practice Address - Country:US
Practice Address - Phone:352-322-6093
Practice Address - Fax:352-794-3243
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2024-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPT23577225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist