Healthcare Provider Details

I. General information

NPI: 1699742130
Provider Name (Legal Business Name): LYNN FRAASS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 MILL LN
DAYTON NJ
08810-1601
US

IV. Provider business mailing address

6 MILL LN
DAYTON NJ
08810-1601
US

V. Phone/Fax

Practice location:
  • Phone: 732-329-1655
  • Fax:
Mailing address:
  • Phone: 732-329-1655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00228100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number40QA00228100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: