Provider Demographics
NPI:1457564783
Name:FRANEK, THOMAS BEN (MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:BEN
Last Name:FRANEK
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 WESSEX CT
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-9588
Mailing Address - Country:US
Mailing Address - Phone:610-370-1125
Mailing Address - Fax:
Practice Address - Street 1:1300 EAGLE RD
Practice Address - Street 2:
Practice Address - City:ST DAVIDS
Practice Address - State:PA
Practice Address - Zip Code:19087-3617
Practice Address - Country:US
Practice Address - Phone:610-225-5670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0031012255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer