Provider Demographics
NPI:1285842534
Name:TURNAGE, JULIE LOWERY (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:LOWERY
Last Name:TURNAGE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:ANNLOWERY
Other - Last Name:TURNAGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTRL
Mailing Address - Street 1:515 LOWERY LOOP
Mailing Address - Street 2:
Mailing Address - City:FOXWORTH
Mailing Address - State:MS
Mailing Address - Zip Code:39483-4239
Mailing Address - Country:US
Mailing Address - Phone:601-731-1542
Mailing Address - Fax:
Practice Address - Street 1:1018 ALBERTA AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MS
Practice Address - Zip Code:39429-2552
Practice Address - Country:US
Practice Address - Phone:601-736-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSOT1344225X00000X
LAZ11854225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist