Provider Demographics
NPI:1770566010
Name:GARGANO, FRANK LEE (PT, DPT, OCS, MCTA)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:LEE
Last Name:GARGANO
Suffix:
Gender:M
Credentials:PT, DPT, OCS, MCTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 COCHRAN RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3310
Mailing Address - Country:US
Mailing Address - Phone:440-498-9723
Mailing Address - Fax:440-498-9725
Practice Address - Street 1:30455 SOLON RD
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3458
Practice Address - Country:US
Practice Address - Phone:440-498-9723
Practice Address - Fax:440-498-9725
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH052482251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0184465Medicaid
OH36-6653Medicare PIN