MEDICARE: MR. PATRICK JOHN FRANK M.T. TH.D.

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	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	5408	OH

General Provider Information

NPI Number	:	1346545381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PATRICK JOHN FRANK M.T. TH.D.

Provider Business Mailing Address
First Line	:	2725 ABINGTON RD
Second Line	:	STE 201
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-4057
Country	:	US
Telephone Number	:	330-836-4445
Fax Number	:

Provider Business Practice Location Address
First Line	:	2725 ABINGTON RD
Second Line	:	STE 201
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-4057
Country	:	US
Telephone Number	:	330-836-4445
Fax Number	:

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

Provider Enumeration Date	:	01/24/2011
Last Update Date	:	01/24/2011

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