Healthcare Provider Details

I. General information

NPI: 1306120647
Provider Name (Legal Business Name): JULIE N FRANKS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2011
Last Update Date: 10/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 INTERNATIONAL PKWY STE 300
LAKE MARY FL
32746-5061
US

IV. Provider business mailing address

729 CASSIAR PL
KELOWNA BRITISH COLUMBIA
V1V 1M6
CA

V. Phone/Fax

Practice location:
  • Phone: 813-371-5186
  • Fax:
Mailing address:
  • Phone: 250-868-0931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number60186623
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: