Provider Demographics
NPI:1154448843
Name:FRANKOWSKI, COREY ANN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:COREY
Middle Name:ANN
Last Name:FRANKOWSKI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 TINKERBROOK RD
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:PA
Mailing Address - Zip Code:18421-9734
Mailing Address - Country:US
Mailing Address - Phone:570-222-9442
Mailing Address - Fax:
Practice Address - Street 1:45 N SCOTT ST
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:PA
Practice Address - Zip Code:18407-1833
Practice Address - Country:US
Practice Address - Phone:570-282-1099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC-006323L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist