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Individual
BRAD J TURNER
Active
Individual
BRAD J TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003514A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000280021
BLUE CROSS BLUE SHIELD
IN
01
—
214560C
MEDICARE LEGACY
IN
05
—
31003514A
—
IN
Enumeration date
12/05/2005
Last updated
03/12/2009
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