Provider Demographics
NPI:1578834313
Name:FERRER, EMILY FERNANDEZ- (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:FERNANDEZ-
Last Name:FERRER
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5236 BLUEBERRY HILL AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6796
Mailing Address - Country:US
Mailing Address - Phone:561-967-1852
Mailing Address - Fax:
Practice Address - Street 1:2930 SOUTH HAVERHILL RD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33415
Practice Address - Country:US
Practice Address - Phone:561-641-3130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT11069225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist