Provider Demographics
NPI:1922631720
Name:FRANKLIN, ANGELA (OTR)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 HIGHWAY 577 S
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:LA
Mailing Address - Zip Code:71232-4160
Mailing Address - Country:US
Mailing Address - Phone:318-878-7070
Mailing Address - Fax:
Practice Address - Street 1:1617 HIGHWAY 577 S
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:LA
Practice Address - Zip Code:71232-4160
Practice Address - Country:US
Practice Address - Phone:318-878-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.Z10915225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist