Provider Demographics
NPI:1316907660
Name:FRANKLIN, MARCUS JAMES (OTR/L)
Entity type:Individual
Prefix:MR
First Name:MARCUS
Middle Name:JAMES
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 WARWICK DR
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2188
Mailing Address - Country:US
Mailing Address - Phone:708-720-4570
Mailing Address - Fax:708-720-4570
Practice Address - Street 1:920 WARWICK DR
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2188
Practice Address - Country:US
Practice Address - Phone:708-720-4570
Practice Address - Fax:708-720-4570
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist