Basic Information
| Provider Information | |||||||||
| NPI: | 1538404686 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANKS | ||||||||
| FirstName: | DENISE | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 49 CRAIG DR | ||||||||
| Address2: | |||||||||
| City: | THORNVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430768036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404047932 | ||||||||
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| Practice Location | |||||||||
| Address1: | 920 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | NEW LEXINGTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437641552 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7403425161 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2012 | ||||||||
| LastUpdateDate: | 11/30/2012 | ||||||||
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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 | 225200000X | 01894 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.