Provider Demographics
NPI:1164401717
Name:FRAME, VIRGINIA R (MPT)
Entity Type:Individual
Prefix:MISS
First Name:VIRGINIA
Middle Name:R
Last Name:FRAME
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1825 W. CALLE TRANQUILA
Mailing Address - Street 2:# 201
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745
Mailing Address - Country:US
Mailing Address - Phone:520-889-1622
Mailing Address - Fax:520-889-1618
Practice Address - Street 1:2900 E. BROADWAY BLVD
Practice Address - Street 2:SUITE 132
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716
Practice Address - Country:US
Practice Address - Phone:520-889-1622
Practice Address - Fax:520-889-1618
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ3276225100000X
AZ3276225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ73418Medicare PIN