Provider Demographics
NPI:1699084202
Name:ABNER-TURENNE, AUDREY AMBER (PT, DPT)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:AMBER
Last Name:ABNER-TURENNE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 LINDELL BLVD APT 907
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3291
Mailing Address - Country:US
Mailing Address - Phone:252-258-4487
Mailing Address - Fax:
Practice Address - Street 1:3678 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-3700
Practice Address - Country:US
Practice Address - Phone:561-965-6980
Practice Address - Fax:561-965-9231
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033077-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q4WFH1Medicare PIN