Individual
DANIEL QUILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 29TH ST, GREAT BEND, KS 67530-7041
(913) 909-9763
Mailing address
2900 29TH ST, GREAT BEND, KS 67530-7041
(913) 909-9763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04884
KS
Other
Enumeration date
06/12/2014
Last updated
06/17/2021
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