Provider Demographics
NPI:1427350321
Name:TURNER, CANDICE BARNES (PT)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:BARNES
Last Name:TURNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CANDICE
Other - Middle Name:MARY
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:580 LUNALILO HOME RD
Mailing Address - Street 2:UNIT 2412
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1733
Mailing Address - Country:US
Mailing Address - Phone:619-992-4863
Mailing Address - Fax:
Practice Address - Street 1:580 LUNALILO HOME RD
Practice Address - Street 2:UNIT 2412
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1733
Practice Address - Country:US
Practice Address - Phone:619-992-4863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-28
Last Update Date:2010-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2038225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist