Provider Demographics
NPI:1477689560
Name:FRANKS, ROSEMARY (OTA)
Entity Type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:FRANKS
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34760 PARK EAST DR
Mailing Address - Street 2:A103
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-4273
Mailing Address - Country:US
Mailing Address - Phone:440-248-6831
Mailing Address - Fax:
Practice Address - Street 1:4329 GREEN RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND HILLS
Practice Address - State:OH
Practice Address - Zip Code:44128-4884
Practice Address - Country:US
Practice Address - Phone:216-464-0950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA01778174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOTA01778OtherSTATE LICENSE