Individual
TERRI NICOLE QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PARK PLACE BLVD, KISSIMMEE, FL 34741-2345
(904) 583-2814
Mailing address
13156 ROYAL FERN DR, ORLANDO, FL 32828-7734
(904) 583-2814
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16697
FL
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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