Individual
ABIGAIL JAYNE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
634 N MAIN ST STE 5, O FALLON, IL 62269-3746
(618) 690-0068
Mailing address
3855 TIMBERLAKE DR, SWANSEA, IL 62226-1956
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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