Individual
MISS QUINN KATHRYN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1794
SD
225100000X
Physical Therapist
2036PT
MT
Other
Enumeration date
01/30/2007
Last updated
05/10/2019
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