Basic Information
| Provider Information | |||||||||
| NPI: | 1003016544 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRANKS | ||||||||
| FirstName: | JOAN | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | C.O.T.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1010 26TH AVE | ||||||||
| Address2: | |||||||||
| City: | ALTOONA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 166013857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8149445767 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | OLD RTE 220 AND MEADOWS INTERSECTION | ||||||||
| Address2: | |||||||||
| City: | HOLLIDAYSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 16635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8146965201 | ||||||||
| FaxNumber: | 8146965260 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2007 | ||||||||
| LastUpdateDate: | 07/23/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | OP000080L | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.