Provider Demographics
NPI:1598848574
Name:E.M. THERAPEUTICS, INC.
Entity Type:Organization
Organization Name:E.M. THERAPEUTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELI
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARMUR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:818-986-1886
Mailing Address - Street 1:16311 VENTURA BLVD
Mailing Address - Street 2:1280
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2124
Mailing Address - Country:US
Mailing Address - Phone:818-986-1886
Mailing Address - Fax:818-995-7117
Practice Address - Street 1:16311 VENTURA BLVD
Practice Address - Street 2:1280
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2124
Practice Address - Country:US
Practice Address - Phone:818-986-1886
Practice Address - Fax:818-995-7117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT5793225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT5793Medicare ID - Type Unspecified