Organization
FOUNDATIONS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A QUINN PT (OWNER / PHYSICAL THERAPIST)
(971) 236-3036
Entity
Organization
Contact information
Practice address
4305 SE MILWAUKIE AVE, PORTLAND, OR 97202-3960
(971) 236-3036
(877) 335-7643
Mailing address
PO BOX 22406, MILWAUKIE, OR 97269-2406
(971) 236-3036
(877) 335-7643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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