Provider Demographics
NPI:1215401054
Name:TURNER, ALYSSA (COTA/L)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 BEAVER ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16435-5402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9108 PA-198
Practice Address - Street 2:
Practice Address - City:CONNEAUTVILLE
Practice Address - State:PA
Practice Address - Zip Code:16406
Practice Address - Country:US
Practice Address - Phone:814-587-2012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant