Basic Information
Provider Information
NPI: 1861927469
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANKLIN
FirstName: NATHANIEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 625 ENTERPRISE DR
Address2:  
City: OAK BROOK
State: IL
PostalCode: 605238813
CountryCode: US
TelephoneNumber: 6305751980
FaxNumber: 6309285080
Practice Location
Address1: 7760 W VOICE OF AMERICA PARK DR
Address2: STE J
City: WEST CHESTER
State: OH
PostalCode: 450693371
CountryCode: US
TelephoneNumber: 5132337400
FaxNumber: 5137551200
Other Information
ProviderEnumerationDate: 04/21/2017
LastUpdateDate: 04/21/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X OHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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