Provider Demographics
NPI:1457668378
Name:FRANKEL, ROSALIE (RPT)
Entity Type:Individual
Prefix:MS
First Name:ROSALIE
Middle Name:
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2379
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95031-2379
Mailing Address - Country:US
Mailing Address - Phone:408-656-1020
Mailing Address - Fax:
Practice Address - Street 1:15480 PALOS VERDES DR
Practice Address - Street 2:
Practice Address - City:MONTE SERENO
Practice Address - State:CA
Practice Address - Zip Code:95030-3235
Practice Address - Country:US
Practice Address - Phone:408-656-1020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT99432251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics