MEDICARE: MS. DARLA ANN FRANJKO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		OH

General Provider Information

NPI Number	:	1104893890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DARLA ANN FRANJKO PT

Provider Business Mailing Address
First Line	:	4439 MIDDLETOWN RD E
Second Line	:
City	:	NEW MIDDLETOWN
State	:	OH
Zip	:	44442-9406
Country	:	US
Telephone Number	:	330-542-2054
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 W 1ST ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45402-3033
Country	:	US
Telephone Number	:	937-228-9202
Fax Number	:	937-228-2988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	07/08/2007

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