Provider Demographics
NPI:1558447029
Name:FRANKLIN, CAMERON S (PTA)
Entity Type:Individual
Prefix:MR
First Name:CAMERON
Middle Name:S
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TREASURE HILL RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2219
Mailing Address - Country:US
Mailing Address - Phone:501-223-8996
Mailing Address - Fax:501-223-8998
Practice Address - Street 1:1 TREASURE HILL RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2219
Practice Address - Country:US
Practice Address - Phone:501-223-8996
Practice Address - Fax:501-223-8998
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPTA856225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant