Provider Demographics
NPI:1902009863
Name:NORCROSS, EMILY CLAIRE (ATC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:CLAIRE
Last Name:NORCROSS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 MANHATTAN AVE
Mailing Address - Street 2:
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254-3456
Mailing Address - Country:US
Mailing Address - Phone:310-372-7387
Mailing Address - Fax:213-740-0504
Practice Address - Street 1:3501 WATTS WAY
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0602
Practice Address - Country:US
Practice Address - Phone:213-740-5845
Practice Address - Fax:213-740-0504
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer