Provider Demographics
NPI:1790110567
Name:FRANKLIN-PRESCOTT, JENNIFER A (PT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:A
Last Name:FRANKLIN-PRESCOTT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:A
Other - Last Name:VAN DE PAVOORDT-FRANKLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:61 KILCARE RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03216-3209
Mailing Address - Country:US
Mailing Address - Phone:561-400-3295
Mailing Address - Fax:
Practice Address - Street 1:568 9TH ST S # 159
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6620
Practice Address - Country:US
Practice Address - Phone:561-400-3295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 18231225100000X
MA20260225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist