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General NPI Number Information
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NPI Number | 1689497620
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Entity Type | Individual
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Provider Name | EMMALYNN I PIER LMT
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Gender | Female
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 305 CLYDE MORRIS BLVD 220
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City | ORMOND BEACH
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State | FL
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Zip | 32174-8187
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Country | US
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Telephone | 386-800-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 305 CLYDE MORRIS BLVD STE 220
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City | ORMOND BEACH
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State | FL
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Zip | 32174-8187
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Country | US
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Telephone | 386-800-3100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 6022760
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License Number State | FL
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