Healthcare Provider Details

I. General information

NPI: 1922761261
Provider Name (Legal Business Name): MR. FRANK PAUL MILITELLO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 10/13/2021
Certification Date: 10/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 VETERANS DR SW
TACOMA WA
98493-0003
US

IV. Provider business mailing address

4275 S PINE ST APT A311
TACOMA WA
98409-6580
US

V. Phone/Fax

Practice location:
  • Phone: 253-583-1221
  • Fax:
Mailing address:
  • Phone: 231-250-3622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255R0406X
TaxonomyBlind Rehabilitation Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: