Provider Demographics
NPI:1497975528
Name:TURNER, GLORIA BUENROSTRO (R OT)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:BUENROSTRO
Last Name:TURNER
Suffix:
Gender:F
Credentials:R OT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 506 317 E 8TH STREET
Mailing Address - Street 2:
Mailing Address - City:HOLDENVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74848
Mailing Address - Country:US
Mailing Address - Phone:405-379-8085
Mailing Address - Fax:405-379-8084
Practice Address - Street 1:THERAPY CARE OUTPATIENT PC
Practice Address - Street 2:317 E 8TH ST
Practice Address - City:HOLDENVILLE
Practice Address - State:OK
Practice Address - Zip Code:74848
Practice Address - Country:US
Practice Address - Phone:405-379-8085
Practice Address - Fax:405-379-8084
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK63225100000X
OK184225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist