Provider Demographics
NPI:1225418809
Name:TURNER, CRYSTAL (OT)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 KELLER PKWY
Mailing Address - Street 2:SUITE B302
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-2479
Mailing Address - Country:US
Mailing Address - Phone:817-562-8731
Mailing Address - Fax:
Practice Address - Street 1:816 KELLER PKWY
Practice Address - Street 2:SUITE B302
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-2479
Practice Address - Country:US
Practice Address - Phone:817-562-8731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107888225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist