Provider Demographics
NPI:1760491088
Name:FRANKLIN, THERESE ANN (DC)
Entity type:Individual
Prefix:DR
First Name:THERESE
Middle Name:ANN
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 KNICKERBOCKER RD
Mailing Address - Street 2:
Mailing Address - City:DEMAREST
Mailing Address - State:NJ
Mailing Address - Zip Code:07627-1904
Mailing Address - Country:US
Mailing Address - Phone:201-768-6605
Mailing Address - Fax:201-768-0667
Practice Address - Street 1:27 KNICKERBOCKER RD
Practice Address - Street 2:
Practice Address - City:DEMAREST
Practice Address - State:NJ
Practice Address - Zip Code:07627-1904
Practice Address - Country:US
Practice Address - Phone:201-768-6605
Practice Address - Fax:201-768-0667
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00242800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor