Provider Demographics
NPI:1528016128
Name:TURNER, JANINE PHELPS (OTR L CHT)
Entity Type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:PHELPS
Last Name:TURNER
Suffix:
Gender:F
Credentials:OTR L CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 JOHNNIE DODDS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3183
Mailing Address - Country:US
Mailing Address - Phone:843-856-1634
Mailing Address - Fax:843-856-2534
Practice Address - Street 1:802 JOHNNIE DODDS BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3183
Practice Address - Country:US
Practice Address - Phone:843-856-1634
Practice Address - Fax:843-856-2534
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1310225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTH1234Medicaid
SCTH1234Medicaid