Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 3648 | CO |
NPI | 1104092147 |
---|---|
Provider Name | Melissa Joan Turner |
First Address | Pleasant Hill, MO 64080-9399 |
Second Address | Pleasant Hill, MO 64080-9399 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2008 |
Last Update Date | 31/01/2020 |