Provider Demographics
NPI:1336610641
Name:FRANZ, EMILY (DPT, MBA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:FRANZ
Suffix:
Gender:F
Credentials:DPT, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 COLLIER AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-7917
Mailing Address - Country:US
Mailing Address - Phone:607-765-1854
Mailing Address - Fax:
Practice Address - Street 1:3108 SANTA BARBARA BLVD STE 108
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-4537
Practice Address - Country:US
Practice Address - Phone:239-257-1431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-13
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL352081428Other1922033083