National Provider Identifier

Emma Katherine De Lange

Emma Katherine De Lange is listed in the NPPES registry with a primary specialty of Physical Therapist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1285220178Victor, NYPhysical Therapist

Profile Overview

NPI
1285220178
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
December 15, 2020
Last Updated
December 15, 2020

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 100 Belcoda RD
  • Scottsville, NY 14546-9720

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1285220178
Entity Type
Individual
Last Name
De Lange
First Name
Emma
Middle Name
Katherine
Mailing Street Address
100 Belcoda RD
Mailing City
Scottsville
Mailing State
NY
Mailing ZIP Code
14546-9720
Mailing Country
US
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
December 15, 2020
Last Updated
December 15, 2020
Sex
Female
Sole Proprietor
No
Certification Date
December 15, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)