Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 0121000387 | VA |
Y | 2251X0800X | Physical Therapist - Orthopedic | 012350-1 | NY |
NPI | 1043382468 |
---|---|
Provider Name | Robert R Turner |
First Address | New York, NY 10128-7863 |
Second Address | New York, NY 10021-4898 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 23/04/2021 |