Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT016560 | OH |
N | 2251G0304X | Physical Therapist - Geriatrics | PT016560 | OH |
NPI | 1285193862 |
---|---|
Provider Name | Dr. Cassandra Frantz |
First Address | Lima, OH 45805-3228 |
Second Address | Lima, OH 45805-3228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2019 |
Last Update Date | 13/03/2019 |