| NPI | 1053473710 |
|---|---|
| Former Name | TIFFANY A QUINLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV WV002345) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 28975) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2021-06-03 |