Provider Demographics
NPI:1851645527
Name:FRANCIS, NINA A (PT, PTT, CCA)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:A
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PT, PTT, CCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 W BAYLOR LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-8215
Mailing Address - Country:US
Mailing Address - Phone:480-209-3319
Mailing Address - Fax:
Practice Address - Street 1:637 W BAYLOR LN
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-8215
Practice Address - Country:US
Practice Address - Phone:480-209-3319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-02
Last Update Date:2012-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36529225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner