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Individual

BRAD J TURNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
2121 WILLOW ST, VINCENNES, IN 47591-5355
(812) 476-0409
(812) 476-1016
Mailing address
7300 E INDIANA ST, STE. 102, EVANSVILLE, IN 47715-2794
(812) 476-0409
(812) 476-1016

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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