Individual
TARA QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
484 WOODBINE CIR, MAYFIELD VILLAGE, OH 44143-1525
(216) 272-3963
Mailing address
4626 MACKALL RD, SOUTH EUCLID, OH 44121-4242
(216) 571-0602
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
OH3133490
OH
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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