Provider Demographics
NPI:1770727273
Name:TURNER, DENNIS PATRICK (PT)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:PATRICK
Last Name:TURNER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:260 SE MILL CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-3909
Mailing Address - Country:US
Mailing Address - Phone:386-397-9026
Mailing Address - Fax:386-496-2803
Practice Address - Street 1:575 SE 3RD AVE STE 2
Practice Address - Street 2:
Practice Address - City:LAKE BUTLER
Practice Address - State:FL
Practice Address - Zip Code:32054-2600
Practice Address - Country:US
Practice Address - Phone:386-496-2843
Practice Address - Fax:386-496-2803
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4214225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist