Individual
TRACI MICHELLE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1101 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 765-6106
Mailing address
215 LUCAS DR, BRANDENBURG, KY 40108
(270) 828-5776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002063
KY
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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