Provider Demographics
NPI:1760075295
Name:DUONG, QUI N (OTR/L)
Entity Type:Individual
Prefix:
First Name:QUI
Middle Name:N
Last Name:DUONG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:
Other - Last Name:DUONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1155 WATER POINTE LN
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-1035
Mailing Address - Country:US
Mailing Address - Phone:571-265-3853
Mailing Address - Fax:
Practice Address - Street 1:1155 WATER POINTE LN
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20194-1035
Practice Address - Country:US
Practice Address - Phone:571-265-3853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21639225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist