Provider Demographics
NPI:1174582704
Name:FRANZ, JILL M (PT)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:M
Last Name:FRANZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4295 POINT PLEASANT PIKE
Mailing Address - Street 2:
Mailing Address - City:DANBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18916
Mailing Address - Country:US
Mailing Address - Phone:215-345-4323
Mailing Address - Fax:215-345-9456
Practice Address - Street 1:4295 POINT PLEASANT PIKE
Practice Address - Street 2:
Practice Address - City:DANBORO
Practice Address - State:PA
Practice Address - Zip Code:18916
Practice Address - Country:US
Practice Address - Phone:215-345-4323
Practice Address - Fax:215-345-9456
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016175225100000X
PAPT019238225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA5151Medicare ID - Type Unspecified