Individual
SHANICE TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6508 BRIDLE PATH DR, MATTESON, IL 60443-3316
(708) 752-5463
Mailing address
6508 BRIDLE PATH DR, MATTESON, IL 60443-3316
(708) 752-5463
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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