Provider Demographics
NPI:1497950695
Name:GILBERT, EMILY DOREN (MPT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:DOREN
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2321 25TH ST S
Mailing Address - Street 2:#111
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-4802
Mailing Address - Country:US
Mailing Address - Phone:571-312-2703
Mailing Address - Fax:703-691-4933
Practice Address - Street 1:8320 OLD COURTHOUSE RD
Practice Address - Street 2:STE. 401
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3831
Practice Address - Country:US
Practice Address - Phone:703-288-7864
Practice Address - Fax:703-691-4933
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA23052050332251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic