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NPI Code Detail

MEDICARE: JACQUELINE TURMAN OT

MEDICARE: JACQUELINE TURMAN OT
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
1225X00000XOccupational Therapist3522TN
2225X00000XOccupational Therapist261199KY

General Provider Information

NPI Number : 1720413420
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE TURMAN OT
Provider Business Mailing Address
First Line : PO BOX 8114
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37414-0114
Country : US
Telephone Number : 423-622-1551
Fax Number : 877-856-7133
Provider Business Practice Location Address
First Line : 621 GRACEY AVE
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-4012
Country : US
Telephone Number : 423-622-1551
Fax Number : 877-856-7133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2013
Last Update Date : 12/17/2020

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