Provider Demographics
NPI:1487987871
Name:FRANKLIN, AMELIA INDIRA (DPT, OCS)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:INDIRA
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:INDIRA
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24585 STONE CARVER DR STE 275
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-3259
Mailing Address - Country:US
Mailing Address - Phone:037-383-1616
Mailing Address - Fax:703-383-1166
Practice Address - Street 1:24585 STONE CARVER DR STE 275
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105-3259
Practice Address - Country:US
Practice Address - Phone:037-383-1616
Practice Address - Fax:703-383-1166
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23005225100000X
VA23052071012251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist