Provider Demographics
NPI:1326626136
Name:FORD, EMILY FONTOURA (DPT)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:FONTOURA
Last Name:FORD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WATCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2534
Mailing Address - Country:US
Mailing Address - Phone:914-202-0700
Mailing Address - Fax:
Practice Address - Street 1:1 WESTCHESTER PARK DR
Practice Address - Street 2:
Practice Address - City:W HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-3426
Practice Address - Country:US
Practice Address - Phone:914-290-5158
Practice Address - Fax:914-470-6441
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047064225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist