Healthcare Provider Details
I. General information
NPI: 1922717271
Provider Name (Legal Business Name): ANDREA NICOLE TURCK
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/15/2022
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1221 VAN ST SE APT 907
WASHINGTON DC
20003-4656
US
IV. Provider business mailing address
1221 VAN ST SE APT 907
WASHINGTON DC
20003-4656
US
V. Phone/Fax
- Phone: 607-765-4469
- Fax:
- Phone: 607-765-4469
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: