Provider Demographics
NPI:1245767995
Name:FRANKART, JENNIFER (PTA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:FRANKART
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 COUNTY ROAD 60
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:OH
Mailing Address - Zip Code:43435-9729
Mailing Address - Country:US
Mailing Address - Phone:419-618-4114
Mailing Address - Fax:
Practice Address - Street 1:355 WINDSOR LN
Practice Address - Street 2:
Practice Address - City:GIBSONBURG
Practice Address - State:OH
Practice Address - Zip Code:43431-1446
Practice Address - Country:US
Practice Address - Phone:419-637-2104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10192225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant