Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1033458724 |
---|---|
Provider Name | Martin Richard Frank |
First Address | Redmond, WA 98052-5164 |
Second Address | Redmond, WA 98052-5164 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2013 |
Last Update Date | 31/01/2013 |