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NPI Code Detail

MEDICARE: JAZLYN FRANKENFIELD PT, DPT

MEDICARE: JAZLYN FRANKENFIELD PT, DPT
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
1225100000XPhysical Therapist2305216005VA

General Provider Information

NPI Number : 1790568640
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZLYN FRANKENFIELD PT, DPT
Provider Business Mailing Address
First Line : 1311 MAMARONECK AVE STE 140
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5224
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7225 BELL CREEK RD STE 256A
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23111-3503
Country : US
Telephone Number : 804-486-6868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2023
Last Update Date : 08/15/2023

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