Individual
TERESA ELLEN QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2735 BOISSEAU AVE, SOUTHOLD, NY 11971-2908
(631) 236-3010
Mailing address
2735 BOISSEAU AVE, SOUTHOLD, NY 11971-2908
(631) 236-3010
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003906
NY
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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