Individual
JORDAN D QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
502 CARNABY CT, BOSSIER CITY, LA 71111-5572
(318) 426-0396
Mailing address
502 CARNABY CT, BOSSIER CITY, LA 71111-5572
(318) 426-0396
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200431
LA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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