MEDICARE: MS. ROSEMARY FRANKS OTA

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	174400000X	Specialist	OTA01778	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OTA01778	OTHER	OH	STATE LICENSE

General Provider Information

NPI Number	:	1477689560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARY FRANKS OTA

Provider Business Mailing Address
First Line	:	34760 PARK EAST DR
Second Line	:	A103
City	:	SOLON
State	:	OH
Zip	:	44139-4273
Country	:	US
Telephone Number	:	440-248-6831
Fax Number	:

Provider Business Practice Location Address
First Line	:	4329 GREEN RD
Second Line	:
City	:	HIGHLAND HILLS
State	:	OH
Zip	:	44128-4884
Country	:	US
Telephone Number	:	216-464-0950
Fax Number	:

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	07/08/2007

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