Basic Information
Provider Information
NPI: 1952327033
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURTON
FirstName: AMY
MiddleName: PRICE
NamePrefix: MRS.
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 91 HURON AVE
Address2:  
City: TAMPA
State: FL
PostalCode: 336063617
CountryCode: US
TelephoneNumber: 8132533281
FaxNumber:  
Practice Location
Address1: 214 W ALEXANDER ST
Address2:  
City: PLANT CITY
State: FL
PostalCode: 335637156
CountryCode: US
TelephoneNumber: 8137071509
FaxNumber: 8137547864
Other Information
ProviderEnumerationDate: 07/14/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOT 6768FLY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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