MEDICARE: MS. SHEILA ANN TURPIN OTR/L

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
1	225X00000X	Occupational Therapist	OTR955	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1002198	OTHER	MD	NBCOT
2	OTR955	OTHER	AR	STATE REGISTRATION

General Provider Information

NPI Number	:	1225220361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHEILA ANN TURPIN OTR/L

Provider Business Mailing Address
First Line	:	214 PRINCETON
Second Line	:
City	:	BENTON
State	:	AR
Zip	:	72015-3808
Country	:	US
Telephone Number	:	501-778-2166
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 SCHOOL ST
Second Line	:
City	:	BAUXITE
State	:	AR
Zip	:	72011-9143
Country	:	US
Telephone Number	:	501-557-5453
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	08/13/2007

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