Provider Demographics
NPI:1346374188
Name:FRANKENFIELD, CAROL L (PT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:L
Last Name:FRANKENFIELD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:L
Other - Last Name:PICKERING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5 CLARK AVE
Mailing Address - Street 2:PO BOX 28
Mailing Address - City:SOUTH SEAVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08246
Mailing Address - Country:US
Mailing Address - Phone:877-407-3422
Mailing Address - Fax:877-407-4329
Practice Address - Street 1:801 KINGS HIGHWAY NORTH
Practice Address - Street 2:FOX REHABILITATION
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034
Practice Address - Country:US
Practice Address - Phone:877-407-3422
Practice Address - Fax:877-407-4329
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00057700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ462658PCVMedicare ID - Type UnspecifiedPROVIDER NUMBER