Provider Demographics
NPI:1316350952
Name:CIPOLLA, EMILY K (PT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:K
Last Name:CIPOLLA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:K
Other - Last Name:WINKLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 235
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-0235
Mailing Address - Country:US
Mailing Address - Phone:310-539-8800
Mailing Address - Fax:424-203-8389
Practice Address - Street 1:2355 CRENSHAW BLVD STE 130
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-3329
Practice Address - Country:US
Practice Address - Phone:310-539-8800
Practice Address - Fax:424-203-8389
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41204225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist