Provider Demographics
NPI:1336474725
Name:M. TURNER, INC.
Entity Type:Organization
Organization Name:M. TURNER, INC.
Other - Org Name:WEST BAY PHYSICAL SPORTS MEDICINE AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:650-224-5660
Mailing Address - Street 1:931 STONY HILL RD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-1136
Mailing Address - Country:US
Mailing Address - Phone:650-224-5660
Mailing Address - Fax:
Practice Address - Street 1:800 S CLAREMONT ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-1451
Practice Address - Country:US
Practice Address - Phone:650-224-5660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT13893225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty