Individual
MS. DANIELLE LARA QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
4102 VESTAL RD, VESTAL, NY 13850-3531
(607) 772-1598
Mailing address
3390 HANCE RD, BINGHAMTON, NY 13903-5756
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017148-1
NY
Other
Enumeration date
12/26/2011
Last updated
04/09/2020
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