Individual
EMILY MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 S LEMAY AVE, FORT COLLINS, CO 80524-3543
(970) 482-5242
Mailing address
1440 EDORA RD, FORT COLLINS, CO 80525-1267
(619) 884-2534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT1639
LICENSE
CO
Enumeration date
08/30/2006
Last updated
07/08/2007
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