Provider Demographics
NPI:1184725319
Name:FRANTZ, KAMELA RENE (PT)
Entity type:Individual
Prefix:MRS
First Name:KAMELA
Middle Name:RENE
Last Name:FRANTZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:KAMELA
Other - Middle Name:RENE
Other - Last Name:STERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1325 TAYLOR FARM RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-8786
Mailing Address - Country:US
Mailing Address - Phone:919-802-4551
Mailing Address - Fax:
Practice Address - Street 1:3000 NEW BERN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1231
Practice Address - Country:US
Practice Address - Phone:919-350-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11235225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA192433OtherBCBS
VAP00250200OtherMCRR
VA192433OtherBCBS