Provider Demographics
NPI:1750942116
Name:FRANCIOSA, JARED P (PT, DPT)
Entity type:Individual
Prefix:
First Name:JARED
Middle Name:P
Last Name:FRANCIOSA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BARKINGHAM LN STE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5905
Mailing Address - Country:US
Mailing Address - Phone:864-881-1712
Mailing Address - Fax:864-435-9923
Practice Address - Street 1:11 BARKINGHAM LN STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5905
Practice Address - Country:US
Practice Address - Phone:864-881-1712
Practice Address - Fax:864-435-9923
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist