Provider Demographics
NPI:1386880110
Name:FRANKLIN, DANA (MSPT)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-1439
Mailing Address - Country:US
Mailing Address - Phone:516-837-9328
Mailing Address - Fax:
Practice Address - Street 1:67 NORTH CT
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2110
Practice Address - Country:US
Practice Address - Phone:516-625-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028176-12251P0200X, 251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No251300000XAgenciesLocal Education Agency (LEA)