Individual
BLAKE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
96 FOREST ST, PEABODY, MA 01960-3907
(978) 532-0303
Mailing address
14002 MOSAIC NOOK, RICHMOND, VA 23238-1101
(804) 929-7723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14943
MA
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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