Most Relevant Information
Provider Data
| NPI Number: | 1003350315 |
| Provider Name: | EMILY MCCOY |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | P1 60657590 |
Most Important Dates
| Enumeration Date: | 12/06/2016 |
| Last Updated: | 12/06/2016 |
Provider Practice Location
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE
OR
972224628
Practice Location Phone/Fax
| Phone: | 9712065202 |
| Fax: |
Provider Mailing Location
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE
OR
972224628
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |