Provider Demographics
NPI:1891036042
Name:TURNER, CATHY ANN (OTRL)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:ANN
Last Name:TURNER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 ORCHARD LAKE RD
Mailing Address - Street 2:
Mailing Address - City:KEEGO HARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48320-1445
Mailing Address - Country:US
Mailing Address - Phone:248-682-5423
Mailing Address - Fax:248-683-5692
Practice Address - Street 1:2700 ORCHARD LAKE RD
Practice Address - Street 2:
Practice Address - City:KEEGO HARBOR
Practice Address - State:MI
Practice Address - Zip Code:48320-1445
Practice Address - Country:US
Practice Address - Phone:248-682-5423
Practice Address - Fax:248-683-5692
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-13
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201000391225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist