Provider Demographics
NPI:1235564105
Name:FRANKENBERGER, JANET LEE (PTA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LEE
Last Name:FRANKENBERGER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:LEE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:1300 DOUGLAS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-5828
Mailing Address - Country:US
Mailing Address - Phone:434-223-9922
Mailing Address - Fax:
Practice Address - Street 1:2003 COBB ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-2603
Practice Address - Country:US
Practice Address - Phone:434-392-6106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306601519225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant