Individual
MR. SEAN C QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
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
Update your record
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