MEDICARE: EMMA TAORMINA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1033891221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA TAORMINA

Provider Business Mailing Address
First Line	:	2111 SAINT ANN CMN
Second Line	:
City	:	IRWIN
State	:	PA
Zip	:	15642-3174
Country	:	US
Telephone Number	:	724-691-4938
Fax Number	:

Provider Business Practice Location Address
First Line	:	465 TOWN PLAZA AVE STE B
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32081-5190
Country	:	US
Telephone Number	:	904-222-3780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	08/07/2023

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Directions to “ EMMA TAORMINA ” Practice Location

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