Provider Demographics
NPI:1851197115
Name:HARVEY, EMMA MARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:MARIE
Last Name:HARVEY
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 N CENTRAL AVE UNIT 2116
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-2722
Mailing Address - Country:US
Mailing Address - Phone:717-339-7622
Mailing Address - Fax:
Practice Address - Street 1:3501 BAYSHORE BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-8901
Practice Address - Country:US
Practice Address - Phone:813-352-1776
Practice Address - Fax:813-722-1438
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL41073225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist