Individual
DIANA QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
172 ROCKY REST RD, SHELTON, CT 06484-4234
(203) 924-6268
Mailing address
380 PINE CREEK AVE, FAIRFIELD, CT 06824-6390
(203) 913-9624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001237
CT
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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