Individual
MRS. EMILY P. COONRADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA, ATC
Contact information
Practice address
1454 MEXICO WAY NE, ROANOKE, VA 24012-6476
(540) 772-8022
(540) 345-6338
Mailing address
5319 FLAGLER DR, ROANOKE, VA 24019-6311
(540) 293-1660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306602864
VA
225200000X
Physical Therapy Assistant
Primary
3144
SC
2255A2300X
Athletic Trainer
0126000486
VA
Other
Enumeration date
12/19/2009
Last updated
05/19/2014
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