MEDICARE: LINDA EMERY

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	PT34647	CA
2	225100000X	Physical Therapist	26599	CA

General Provider Information

NPI Number	:	1588986194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA EMERY

Provider Business Mailing Address
First Line	:	987 UNIVERSITY AVE STE 12
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95032-7640
Country	:	US
Telephone Number	:	408-395-7300
Fax Number	:	408-395-7350

Provider Business Practice Location Address
First Line	:	12000 CARMEL COUNTRY RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-6101
Country	:	US
Telephone Number	:	858-509-9600
Fax Number	:	858-509-9611

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

Provider Enumeration Date	:	02/23/2010
Last Update Date	:	02/23/2010

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Directions to “ LINDA EMERY ” Practice Location

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