Provider Demographics
NPI:1629486345
Name:QUIGLEY, ERIN MARY (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:MARY
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6521 ARLINGTON BLVD.
Mailing Address - Street 2:#312
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042
Mailing Address - Country:US
Mailing Address - Phone:703-536-1817
Mailing Address - Fax:703-536-5677
Practice Address - Street 1:6521 ARLINGTON BLVD.
Practice Address - Street 2:#312
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042
Practice Address - Country:US
Practice Address - Phone:703-536-1817
Practice Address - Fax:703-536-5677
Is Sole Proprietor?:No
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119006185225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics