Provider Demographics
NPI:1467855502
Name:TURBETT, REVA KUSHNER (DPT)
Entity Type:Individual
Prefix:
First Name:REVA
Middle Name:KUSHNER
Last Name:TURBETT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:REVA
Other - Middle Name:
Other - Last Name:KUSHNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2022 E OLD LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3002
Practice Address - Country:US
Practice Address - Phone:215-891-5150
Practice Address - Fax:215-891-1410
Is Sole Proprietor?:No
Enumeration Date:2014-10-03
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA394644VKFMedicare PIN