Individual
JOE MIKE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
115 S PROVIDENCE RD, WALLINGFORD, PA 19086-6333
(610) 565-3232
Mailing address
115 S PROVIDENCE RD, WALLINGFORD, PA 19086-6333
(610) 565-3232
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002993L
PA
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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