Provider Demographics
NPI:1700859204
Name:FRANCESCHI, PAMELA ANN (PT)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:ANN
Last Name:FRANCESCHI
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 1:7641 GIUSTI RD
Mailing Address - Street 2:
Mailing Address - City:FORESTVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95436-9272
Mailing Address - Country:US
Mailing Address - Phone:707-887-7471
Mailing Address - Fax:707-573-8204
Practice Address - Street 1:2448 GUERNEVILLE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-4175
Practice Address - Country:US
Practice Address - Phone:707-573-8202
Practice Address - Fax:707-573-8204
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT10568225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT105680Medicare ID - Type Unspecified