Provider Demographics
NPI:1811600679
Name:FRANKLIN, ELANA
Entity type:Individual
Prefix:
First Name:ELANA
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5120 MANZANITA AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0590
Mailing Address - Country:US
Mailing Address - Phone:916-926-0496
Mailing Address - Fax:916-248-7477
Practice Address - Street 1:5120 MANZANITA AVE STE 110
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0590
Practice Address - Country:US
Practice Address - Phone:916-926-0496
Practice Address - Fax:916-248-7477
Is Sole Proprietor?:No
Enumeration Date:2022-12-26
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
CA303299225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist