Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OP000080L | PA |
NPI | 1003016544 |
---|---|
Provider Name | Joan Marie Franks |
First Address | Altoona, PA 16601-3857 |
Second Address | Hollidaysburg, PA 16635 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2007 |
Last Update Date | 23/07/2007 |