Individual
MS. JENNIFER QUIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008392
NY
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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