Provider Demographics
NPI:1083712392
Name:TURNER, JULIE R (PT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:R
Last Name:TURNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 DAWKINS DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901-9674
Mailing Address - Country:US
Mailing Address - Phone:304-645-9797
Mailing Address - Fax:304-645-9799
Practice Address - Street 1:203 DAWKINS DR
Practice Address - Street 2:SUITE C
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-9674
Practice Address - Country:US
Practice Address - Phone:304-645-9797
Practice Address - Fax:304-645-9799
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1116225100000X
VA2305004851225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV7305210000Medicaid
WV7305210000Medicaid