Provider Demographics
NPI:1710469028
Name:FRAWLEY, IRMINA
Entity Type:Individual
Prefix:
First Name:IRMINA
Middle Name:
Last Name:FRAWLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 LYNDHURST RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-5550
Mailing Address - Country:US
Mailing Address - Phone:609-775-7345
Mailing Address - Fax:803-788-8499
Practice Address - Street 1:217 US-36 FRONTAGE
Practice Address - Street 2:
Practice Address - City:ST FRANCIS
Practice Address - State:KS
Practice Address - Zip Code:67756
Practice Address - Country:US
Practice Address - Phone:785-600-3585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-06326225100000X
SC9289225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist