Individual
MR. SEAN C QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
70 E NORTH ST, SUITE 100, EUREKA, MO 63025-1205
(636) 938-4065
(636) 938-4067
Mailing address
15 ROCKWOOD PLACE CT, EUREKA, MO 63025-1158
(636) 938-4065
(636) 938-4067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001005492
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11299
ESSENCE
MO
01
—
193453
BLUE CROSS BLUE SHIELD
MO
01
—
227075
GHP
MO
01
—
6400737
UNITED HEALTH CARE
MO
01
—
683038
HEALTHLINK
MO
01
—
7889614
AETNA
MO
01
—
861105238001
TRICARE
MO
Enumeration date
05/07/2007
Last updated
07/08/2007
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