Individual
ASPEN QUADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 S 2ND ST, WALNUT, IL 61376-9364
(815) 379-2131
Mailing address
1110 E 37TH ST APT 213, DAVENPORT, IA 52807-1757
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005086
IL
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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