Individual
SHANAIRRA C QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 W 2ND ST, BYRON, IL 61010-1464
(815) 234-2511
Mailing address
811 W 2ND ST, BYRON, IL 61010-1464
(815) 234-2511
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2145092
TX
225200000X
Physical Therapy Assistant
Primary
50261
CA
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
06/24/2014
Last updated
09/27/2019
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