MEDICARE: DR. EMILY NORCO PT, DPT

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	PTL.0016172	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083178859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY NORCO PT, DPT

Provider Business Mailing Address
First Line	:	3249 W FAIRVIEW PL APT 103
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-5413
Country	:	US
Telephone Number	:	630-908-0519
Fax Number	:

Provider Business Practice Location Address
First Line	:	3249 W FAIRVIEW PL APT 103
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-5413
Country	:	US
Telephone Number	:	630-908-0519
Fax Number	:

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

Provider Enumeration Date	:	01/25/2019
Last Update Date	:	01/25/2019

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