Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 0279441 | GA |
NPI | 1003066523 |
---|---|
Provider Name | Elisabeth Anne Frank |
First Address | New York, NY 10024-6327 |
Second Address | New York, NY 10017-6107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2008 |
Last Update Date | 27/08/2009 |