Individual
COLLEEN JANE QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
12138 SW BENNINGTON CIR, PORT ST LUCIE, FL 34987-2781
(419) 360-8121
Mailing address
12138 SW BENNINGTON CIR, PORT ST LUCIE, FL 34987-2781
(419) 360-8121
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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