Individual
KEVIN PAUL QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
301 W PUTNAM AVE, PORTERVILLE, CA 93257-3429
(737) 784-7375
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(559) 329-1842
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9987
CA
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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