Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 40QA01503500 | NJ |
NPI | 1003249897 |
---|---|
Provider Name | Jackelyn L Turner |
First Address | Moorestown, NJ 08057-4602 |
Second Address | Delran, NJ 08075-1869 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2013 |
Last Update Date | 26/06/2019 |