Provider Demographics
NPI:1730886375
Name:OFNER, EMMA (ATC, MS, LAT)
Entity type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:
Last Name:OFNER
Suffix:
Gender:F
Credentials:ATC, MS, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 INDEPENDENCE WAY APT 50109
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-2055
Mailing Address - Country:US
Mailing Address - Phone:518-586-2951
Mailing Address - Fax:
Practice Address - Street 1:75 INDEPENDENCE WAY APT 50109
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-2055
Practice Address - Country:US
Practice Address - Phone:518-586-2951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAT003802255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer