Provider Demographics
NPI:1285495606
Name:AMMAZZAORSI, EMILY HARRIS (DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:HARRIS
Last Name:AMMAZZAORSI
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 1:103 BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:COLMAR
Mailing Address - State:PA
Mailing Address - Zip Code:18915-9719
Mailing Address - Country:US
Mailing Address - Phone:267-354-3490
Mailing Address - Fax:
Practice Address - Street 1:103 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:COLMAR
Practice Address - State:PA
Practice Address - Zip Code:18915-9719
Practice Address - Country:US
Practice Address - Phone:267-354-3490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT028551225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist