Provider Demographics
NPI:1144414491
Name:QUAIL, FRANCINE CHINNI (PT)
Entity Type:Individual
Prefix:MS
First Name:FRANCINE
Middle Name:CHINNI
Last Name:QUAIL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4024 COREY CIR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9475
Mailing Address - Country:US
Mailing Address - Phone:734-769-6521
Mailing Address - Fax:734-769-6521
Practice Address - Street 1:4024 COREY CIR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-9475
Practice Address - Country:US
Practice Address - Phone:734-769-6521
Practice Address - Fax:734-769-6521
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501002481225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI16432OtherM-CARE
MI16432OtherM-CARE