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NPI Code Detail

MEDICARE: MRS. SUZANNE MARIE FRANK PTA

MEDICARE: MRS. SUZANNE MARIE FRANK PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA17348FL
2225700000XMassage TherapistMA52595FL

General Provider Information

NPI Number : 1316117054
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUZANNE MARIE FRANK PTA
Provider Business Mailing Address
First Line : 1001 SW CANARY TER
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34953-1818
Country : US
Telephone Number : 772-871-7170
Fax Number :
Provider Business Practice Location Address
First Line : 156 NW CALIFORNIA BLVD
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34986-2492
Country : US
Telephone Number : 772-871-7170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2008
Last Update Date : 03/10/2008

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Directions to “ MRS. SUZANNE MARIE FRANK PTA” Practice Location

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