Provider Demographics
NPI:1295702561
Name:OSTERWALD, FRANK K (PT)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:K
Last Name:OSTERWALD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CAROLINE AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-4410
Mailing Address - Country:US
Mailing Address - Phone:516-565-5654
Mailing Address - Fax:516-565-5654
Practice Address - Street 1:101 CAROLINE AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-4410
Practice Address - Country:US
Practice Address - Phone:516-565-5654
Practice Address - Fax:516-565-5654
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011854225100000X
PAPT-007374-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist