Provider Demographics
NPI:1215627146
Name:WALTER, EMILY ALYSSA (DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ALYSSA
Last Name:WALTER
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 1:2922 HARCUM WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2529
Mailing Address - Country:US
Mailing Address - Phone:570-903-2838
Mailing Address - Fax:
Practice Address - Street 1:2922 HARCUM WAY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2529
Practice Address - Country:US
Practice Address - Phone:570-903-2838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305215694225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist