Provider Demographics
NPI:1285346486
Name:ERZRUMLY, EMILIANA (DPT)
Entity type:Individual
Prefix:
First Name:EMILIANA
Middle Name:
Last Name:ERZRUMLY
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 1:23101 SHERMAN PL STE 150
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2005
Mailing Address - Country:US
Mailing Address - Phone:818-887-7667
Mailing Address - Fax:
Practice Address - Street 1:23101 SHERMAN PL STE 150
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2005
Practice Address - Country:US
Practice Address - Phone:818-887-7667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PT303368225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist