Provider Demographics
NPI:1942719646
Name:TURNER, ANDREW GORDON (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GORDON
Last Name:TURNER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 VILLAGE WOODS CIR
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04038-1641
Mailing Address - Country:US
Mailing Address - Phone:207-233-6813
Mailing Address - Fax:
Practice Address - Street 1:1037 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DOVER FOXCROFT
Practice Address - State:ME
Practice Address - Zip Code:04426-3752
Practice Address - Country:US
Practice Address - Phone:207-564-8129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT4973225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist