Individual
LISA A. O'QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 220-6971
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 220-6971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2099
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099
PTA LICENSE NUMBER
NC
Enumeration date
04/16/2007
Last updated
11/06/2007
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