Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 14.009467 | CT |
N | 2251X0800X | Physical Therapist - Orthopedic | 21135 | MA |
Y | 2251X0800X | Physical Therapist - Orthopedic | 3879 | NH |
NPI | 1053667014 |
---|---|
Provider Name | Dr. Michelle Lynne Tinnes Turner |
First Address | Concord, NH 03301-3556 |
Second Address | Concord, NH 03301-3556 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2012 |
Last Update Date | 31/10/2019 |