Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 2009014228 | MO |
NPI | 1063648798 |
---|---|
Provider Name | Ms. Lesley Anne Turner |
First Address | Taylor, MO 63471-2152 |
Second Address | Palmyra, MO 63461-1943 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2009 |
Last Update Date | 04/02/2016 |