Provider Demographics
NPI:1205987245
Name:FRANK, KAREN (PT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 S BURNSIDE AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-4634
Mailing Address - Country:US
Mailing Address - Phone:225-644-8444
Mailing Address - Fax:225-647-8444
Practice Address - Street 1:2211 S BURNSIDE AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4634
Practice Address - Country:US
Practice Address - Phone:225-644-8444
Practice Address - Fax:225-647-8444
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA03590R225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3A086C900Medicare PIN