Provider Demographics
NPI:1467589671
Name:COLLEEN TURNER THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:COLLEEN TURNER THERAPY SERVICES, INC.
Other - Org Name:COLLEEN TURNER THERAPY SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-266-8101
Mailing Address - Street 1:8424 S SANDOVAL ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-2830
Mailing Address - Country:US
Mailing Address - Phone:505-266-8101
Mailing Address - Fax:505-266-8101
Practice Address - Street 1:8424 S SANDOVAL ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87122-2830
Practice Address - Country:US
Practice Address - Phone:505-266-8101
Practice Address - Fax:505-266-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM812225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMD4332Medicaid