Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1023341823 |
---|---|
Provider Name | Elora Franklin |
First Address | Inglewood, CA 90302-2743 |
Second Address | Los Angeles, CA 90004-5407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2009 |
Last Update Date | 10/09/2009 |