Basic Information
| Provider Information | |||||||||
| NPI: | 1356509483 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRONK | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1998 JOSEPHS RUN RD | ||||||||
| Address2: | |||||||||
| City: | NEW RICHMOND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 451579311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5137088406 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2884 E KEMPER RD | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452411820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5137712233 | ||||||||
| FaxNumber: | 5136123572 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2008 | ||||||||
| LastUpdateDate: | 10/17/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 5596 | OR | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 2071 | HI | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 009423 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.