Provider Demographics
NPI:1659015444
Name:QUARSHIE, ALWYN (DPT)
Entity Type:Individual
Prefix:
First Name:ALWYN
Middle Name:
Last Name:QUARSHIE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3017 SW 136TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-5169
Mailing Address - Country:US
Mailing Address - Phone:405-628-8727
Mailing Address - Fax:
Practice Address - Street 1:12400 S HIWASSEE RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73165-7681
Practice Address - Country:US
Practice Address - Phone:405-833-1013
Practice Address - Fax:405-931-0016
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics