Provider Demographics
NPI:1366811614
Name:GIANNINI, FRANK (OT/L)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:GIANNINI
Suffix:
Gender:M
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 BUTTERNUT CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-4870
Mailing Address - Country:US
Mailing Address - Phone:201-253-3359
Mailing Address - Fax:
Practice Address - Street 1:1009 BUTTERNUT CT
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28409-4870
Practice Address - Country:US
Practice Address - Phone:201-253-3359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6240225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist