MEDICARE: MICHELLE JOYCE TURK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5817	SC

General Provider Information

NPI Number	:	1437760683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE JOYCE TURK

Provider Business Mailing Address
First Line	:	215 BLOSSOM ST
Second Line	:
City	:	GOOSE CREEK
State	:	SC
Zip	:	29445-3516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8626 DORCHESTER RD
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29420-7328
Country	:	US
Telephone Number	:	410-279-7092
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2020
Last Update Date	:	08/12/2020

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