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NPI Code Detail

MEDICARE: FRANTZDDYN PAMPHILE

MEDICARE: FRANTZDDYN PAMPHILE
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
1225X00000XOccupational TherapistOC014849PA

General Provider Information

NPI Number : 1528624277
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANTZDDYN PAMPHILE
Provider Business Mailing Address
First Line : PO BOX 717
Second Line :
City : MARSHALLS CREEK
State : PA
Zip : 18335-0717
Country : US
Telephone Number : 570-401-6331
Fax Number :
Provider Business Practice Location Address
First Line : 415 YELLOW LN
Second Line :
City : EAST STROUDSBURG
State : PA
Zip : 18302-9626
Country : US
Telephone Number : 570-401-6331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2019
Last Update Date : 05/17/2019

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Directions to “ FRANTZDDYN PAMPHILE ” Practice Location

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