Individual
MRS. TRACI LYN TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA/CTRS
Contact information
Practice address
1500 MUSEUM RD STE 104, CONWAY, AR 72032-4761
(501) 329-3804
(501) 329-0718
Mailing address
1240 BERMUDA ST, CONWAY, AR 72034-3398
(501) 269-4025
(501) 329-0718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1789-PTA
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1789
PTA LICENSE
AR
01
—
26200
CTRS
—
Enumeration date
09/16/2006
Last updated
07/08/2007
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