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NPI Code Detail

MEDICARE: CHLOE RENAE TURCOTTE

MEDICARE: CHLOE RENAE TURCOTTE
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1720723059
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHLOE RENAE TURCOTTE
Provider Business Mailing Address
First Line : 218 CYPRESS AVE APT 2
Second Line :
City : MARINA
State : CA
Zip : 93933-3831
Country : US
Telephone Number : 831-444-1347
Fax Number :
Provider Business Practice Location Address
First Line : 4623 W DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-7116
Country : US
Telephone Number : 702-410-9629
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2022
Last Update Date : 05/02/2022

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Directions to “ CHLOE RENAE TURCOTTE ” Practice Location

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