Provider Demographics
NPI:1902829690
Name:TURNER, MARINA (PT)
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 STONY HILL RD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-1136
Mailing Address - Country:US
Mailing Address - Phone:650-369-1924
Mailing Address - Fax:
Practice Address - Street 1:800 S CLAREMONT ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-1451
Practice Address - Country:US
Practice Address - Phone:650-685-4800
Practice Address - Fax:650-685-4802
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13893225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist