Healthcare Provider Details

I. General information

NPI: 1225378169
Provider Name (Legal Business Name): EMILY MARIE DAW PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2013
Last Update Date: 02/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4255 NORTHFIELD RD
HIGHLAND HILLS OH
44128-2811
US

IV. Provider business mailing address

4255 NORTHFIELD RD
HIGHLAND HILLS OH
44128-2811
US

V. Phone/Fax

Practice location:
  • Phone: 216-292-9700
  • Fax: 216-378-4613
Mailing address:
  • Phone: 216-292-9700
  • Fax: 216-378-4613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.014124
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: