Healthcare Provider Details

I. General information

NPI: 1558521047
Provider Name (Legal Business Name): JOSHUA TURNER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 BROKEN SOUND PARKWAY SUITE 500
BOCA RATON FL
33487
US

IV. Provider business mailing address

4 COMMON ST
ROCHESTER NH
03867-3501
US

V. Phone/Fax

Practice location:
  • Phone: 561-367-1175
  • Fax:
Mailing address:
  • Phone: 603-332-6336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1969
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: