Healthcare Provider Details

I. General information

NPI: 1447085634
Provider Name (Legal Business Name): MR. FRANKLIN PRICE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 09/06/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1461 BRENTFIELD DR
WADSWORTH OH
44281-6204
US

IV. Provider business mailing address

1461 BRENTFIELD DR
WADSWORTH OH
44281-6204
US

V. Phone/Fax

Practice location:
  • Phone: 440-888-5900
  • Fax:
Mailing address:
  • Phone: 330-990-0361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2556
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: