Provider Demographics
NPI:1497407316
Name:LAFRANCE PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:LAFRANCE PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFRANCE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:315-825-1316
Mailing Address - Street 1:3191 COLE RD
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:NY
Mailing Address - Zip Code:13334-2910
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3191 COLE RD
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:NY
Practice Address - Zip Code:13334-2910
Practice Address - Country:US
Practice Address - Phone:315-750-9865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty