Healthcare Provider Details

I. General information

NPI: 1205490422
Provider Name (Legal Business Name): TURNING POINT PEDIATRIC THERAPY NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2019
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 STONE ST STE 101
AUGUSTA ME
04330-5209
US

IV. Provider business mailing address

24 STONE ST STE 101
AUGUSTA ME
04330-5209
US

V. Phone/Fax

Practice location:
  • Phone: 207-582-8400
  • Fax: 207-230-6701
Mailing address:
  • Phone: 207-582-8400
  • Fax: 207-230-6701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY A JUAT
Title or Position: PRESIDENT/OT
Credential: MOT, OTR/L
Phone: 207-582-8400