Provider Demographics
NPI:1285290023
Name:DAVIES, EMILY KRISTINE (DPT)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KRISTINE
Last Name:DAVIES
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 1:1207 N PITT ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-1477
Mailing Address - Country:US
Mailing Address - Phone:717-435-3252
Mailing Address - Fax:
Practice Address - Street 1:9141 ALAKING CT STE 112
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-5049
Practice Address - Country:US
Practice Address - Phone:301-499-4655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV004117225100000X
MD27460225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist