Individual
EMIKA EMBRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22690
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166204YZW
DC MEDICARE PTAN
—
01
—
22690
MARYLAND LICENSE
—
01
—
46950036
CAREFIRST BCBS NCA
—
01
—
94834201
CAREFIRST BCBS MARYLAND
—
Enumeration date
12/09/2008
Last updated
02/25/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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