Healthcare Provider Details

I. General information

NPI: 1134562366
Provider Name (Legal Business Name): TURNER PHYSICAL THERAPY & SCOLIOSIS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 02/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 BALTIMORE ANNAPOLIS BLVD RITCHIE COURT, SUITE 103
SEVERNA PARK MD
21146-4700
US

IV. Provider business mailing address

877 BALTIMORE ANNAPOLIS BLVD RITCHIE COURT, SUITE 103
SEVERNA PARK MD
21146-4700
US

V. Phone/Fax

Practice location:
  • Phone: 410-647-5800
  • Fax: 410-647-5822
Mailing address:
  • Phone: 410-647-5800
  • Fax: 410-647-5822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. SANDRA M TURNER
Title or Position: SOLE MEMBER
Credential: PT, DPT, CERT. MDT
Phone: 410-647-5800