Provider Demographics
NPI:1942237607
Name:PRICE, EMILY JANE (MSPT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JANE
Last Name:PRICE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:JANE
Other - Last Name:LOESCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:491 BEAVER MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-4908
Mailing Address - Country:US
Mailing Address - Phone:518-844-1289
Mailing Address - Fax:
Practice Address - Street 1:127 EAST STATE STREET
Practice Address - Street 2:
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078
Practice Address - Country:US
Practice Address - Phone:518-775-5456
Practice Address - Fax:518-725-2850
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023110-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist