Individual
JONI QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
287 ANTRIM AVE, MOORE, SC 29369-9154
(864) 590-6183
(864) 574-8111
Mailing address
PO BOX 170606, SPARTANBURG, SC 29301-0030
(864) 590-6183
(864) 574-8111
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2250
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0760
—
SC
Enumeration date
09/19/2008
Last updated
09/24/2008
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