Individual
AUGUST EDWARD QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
24452 HEALTH CENTER DR, LAGUNA HILLS, CA 92653-3604
(949) 837-8000
Mailing address
740 AVENIDA DEL VIS APT D, CORONA, CA 92882-2700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5721
CA
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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