Provider Demographics
NPI:1063080570
Name:TOROSSIAN, EMMANUELLE (DPT)
Entity type:Individual
Prefix:
First Name:EMMANUELLE
Middle Name:
Last Name:TOROSSIAN
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 1:2651 PASEO VERDE PKWY STE 170
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-6616
Mailing Address - Country:US
Mailing Address - Phone:702-312-4878
Mailing Address - Fax:702-312-4886
Practice Address - Street 1:2651 PASEO VERDE PKWY STE 170
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-6616
Practice Address - Country:US
Practice Address - Phone:702-312-4878
Practice Address - Fax:702-312-4886
Is Sole Proprietor?:No
Enumeration Date:2021-06-12
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029768225100000X, 225100000X
NV4982225100000X
2251P0200X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic