Healthcare Provider Details

I. General information

NPI: 1235721093
Provider Name (Legal Business Name): FRANTZ JOSEPH KERWIN DOR OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 MACDADE BLVD FL 2
FOLSOM PA
19033-3224
US

IV. Provider business mailing address

PO BOX 34990
BELFAST ME
04915-0627
US

V. Phone/Fax

Practice location:
  • Phone: 833-941-3871
  • Fax: 833-941-3871
Mailing address:
  • Phone: 610-359-5672
  • Fax: 833-941-3871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT007978
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC021258
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: