Individual
ALEC THOMAS EMMELKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
40 RIDGEMONT ST APT 3, BOSTON, MA 02134-2435
(303) 564-2446
Mailing address
40 RIDGEMONT ST APT 3, BOSTON, MA 02134-2435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26277
MA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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