Individual
ETHAN EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
984B LASKIN RD, VIRGINIA BEACH, VA 23451-3905
(757) 395-6900
(757) 425-7180
Mailing address
907 THOUSAND OAKS DR, VIRGINIA BEACH, VA 23454-3530
(804) 627-2483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211904
VA
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
11/13/2019
Last updated
03/22/2021
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