Individual
LIANE MARY QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1666
(269) 226-7000
Mailing address
4104 ASPEN DR, KALAMAZOO, MI 49006-1402
(269) 569-0380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001196
MI
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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