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NPI Code Detail

MEDICARE: MR. ANDREW DOMENIC FRANK MPT

MEDICARE: MR. ANDREW DOMENIC FRANK MPT
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
12251X0800XOrthopedic Physical TherapistPT010780LPA
22251X0800XOrthopedic Physical TherapistDAPT000479PA

General Provider Information

NPI Number : 1962562298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW DOMENIC FRANK MPT
Provider Business Mailing Address
First Line : 444 MIDFIELD LN
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105-4926
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3410 WILMINGTON RD
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105-3210
Country : US
Telephone Number : 724-658-2801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 07/08/2007

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