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NPI Code Detail

MEDICARE: JENNA TURNER PT, DPT

MEDICARE: JENNA TURNER PT, DPT
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
1225100000XPhysical Therapist040713NY

General Provider Information

NPI Number : 1053867226
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA TURNER PT, DPT
Provider Business Mailing Address
First Line : 2 FRONT ST
Second Line :
City : MILLBROOK
State : NY
Zip : 12545-5948
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 FRONT ST
Second Line :
City : MILLBROOK
State : NY
Zip : 12545-5948
Country : US
Telephone Number : 845-677-5021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2016
Last Update Date : 08/28/2016

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Directions to “ JENNA TURNER PT, DPT” Practice Location

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