Organization
SISKIYOU PEDIATRIC THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL QUINN PT (OWNER/PHYSICAL THERAPIST)
(970) 948-0244
Entity
Organization
Contact information
Practice address
665 A ST, ASHLAND, OR 97520-2070
(970) 948-0244
(503) 820-2690
Mailing address
665 A ST, ASHLAND, OR 97520-2070
(970) 948-0244
(503) 820-2690
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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