Provider Demographics
NPI:1841560026
Name:TURNER, ALISHA SHAVAN (PTA)
Entity Type:Individual
Prefix:MRS
First Name:ALISHA
Middle Name:SHAVAN
Last Name:TURNER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:SHAVAN
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1107 NORWOOD HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2379
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1107 NORWOOD HOUSE RD
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2379
Practice Address - Country:US
Practice Address - Phone:484-213-5392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE1003060225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant