Provider Demographics
NPI:1750511606
Name:COATES, EMILY IRENE (DPT)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:IRENE
Last Name:COATES
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 1:112 E WEST ST
Mailing Address - Street 2:UNIT 304
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-4337
Mailing Address - Country:US
Mailing Address - Phone:315-212-2745
Mailing Address - Fax:
Practice Address - Street 1:2227 OLD EMMORTON RD
Practice Address - Street 2:SUITE 121
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6187
Practice Address - Country:US
Practice Address - Phone:443-512-0423
Practice Address - Fax:443-512-0425
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24510225100000X
NY31598225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist