Individual
MRS. LISA MARIE FRANKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 SPRING OAK DR., MELBOURNE, FL 32901
(321) 733-1428
(321) 733-1428
Mailing address
5711 CYPRESS CREEK DR., GRANT, FL 32949
(321) 674-9183
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT5820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293830
AMERIGROUP
FL
Enumeration date
03/19/2007
Last updated
07/08/2007
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