Provider Demographics
NPI:1649464892
Name:ATMOSFERA, EMMANUEL A (PT)
Entity type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:A
Last Name:ATMOSFERA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6497 STONEHURST CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7373
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:561-968-1870
Practice Address - Street 1:6497 STONEHURST CIR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-7373
Practice Address - Country:US
Practice Address - Phone:561-252-2567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 7351225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist