Individual
KULLEN QUINLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2237 ENGLE RD, FORT WAYNE, IN 46809-1404
(260) 747-2353
Mailing address
2237 ENGLE RD, FORT WAYNE, IN 46809-1404
(260) 747-2353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005661A
IN
Other
Enumeration date
04/20/2014
Last updated
04/20/2014
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