Provider Demographics
NPI:1457610677
Name:TURNER, DAVID G (PT, ATC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:G
Last Name:TURNER
Suffix:
Gender:M
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4133 MOHR AVE
Mailing Address - Street 2:STE H
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4750
Mailing Address - Country:US
Mailing Address - Phone:925-222-3195
Mailing Address - Fax:925-891-7870
Practice Address - Street 1:3128 SANTA RITA RD STE B
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-8300
Practice Address - Country:US
Practice Address - Phone:925-222-3195
Practice Address - Fax:925-891-7870
Is Sole Proprietor?:No
Enumeration Date:2012-05-08
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18170225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHF335ZMedicare PIN