Provider Demographics
NPI:1962816215
Name:FRANK, JOANNA (OT)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 YORKSHIRE WAY APT C
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-6614
Mailing Address - Country:US
Mailing Address - Phone:410-693-0949
Mailing Address - Fax:
Practice Address - Street 1:807A S UNION AVE
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-3610
Practice Address - Country:US
Practice Address - Phone:410-939-2262
Practice Address - Fax:410-939-7119
Is Sole Proprietor?:No
Enumeration Date:2014-06-15
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09259225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD09259OtherSTATE LICENSE