Individual
STACEY TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7300 E INDIANA ST, STE 102, EVANSVILLE, IN 47715-2794
(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
31003329A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000302875
BLUE CROSS BLUE SHIELD
IN
05
—
200818530
—
IN
Enumeration date
12/06/2005
Last updated
11/03/2009
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