Individual
AMBER DAVIS QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 BEASLEY STREET, KENANSVILLE, NC 28349-8727
(910) 296-1561
Mailing address
209 BEASLEY ST, KENANSVILLE, NC 28349-8727
(910) 296-1561
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6176
NC
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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