Provider Demographics
NPI:1578233987
Name:FRANKS, BREANNA LAUREN (DPT)
Entity Type:Individual
Prefix:DR
First Name:BREANNA
Middle Name:LAUREN
Last Name:FRANKS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:ELBERTON
Mailing Address - State:GA
Mailing Address - Zip Code:30635-1897
Mailing Address - Country:US
Mailing Address - Phone:706-213-2546
Mailing Address - Fax:706-213-2545
Practice Address - Street 1:4 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:ELBERTON
Practice Address - State:GA
Practice Address - Zip Code:30635-1897
Practice Address - Country:US
Practice Address - Phone:706-213-2546
Practice Address - Fax:706-213-2545
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT015513225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist