Provider Demographics
NPI:1700894268
Name:FRANCZAK, JANE K (PT)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:K
Last Name:FRANCZAK
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 1:29756 CAPTAIN ADAMOUSKI ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-6413
Mailing Address - Country:US
Mailing Address - Phone:775-690-1211
Mailing Address - Fax:
Practice Address - Street 1:8632 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7734
Practice Address - Country:US
Practice Address - Phone:775-690-1211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18973225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV38259Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER