Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | IL |
NPI | 1013078237 |
---|---|
Provider Name | Mrs. Rochelle L Turner |
First Address | Glenwood, IL 60425-1031 |
Second Address | Glenwood, IL 60425-1031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 08/07/2007 |