Provider Demographics
NPI:1811389885
Name:QUINN, GRETCHEN ELISABETH (MS OTR/L)
Entity Type:Individual
Prefix:MS
First Name:GRETCHEN
Middle Name:ELISABETH
Last Name:QUINN
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:ELISABETH
Other - Last Name:KEMPF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2295 FOREST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-1587
Mailing Address - Country:US
Mailing Address - Phone:215-343-8685
Mailing Address - Fax:
Practice Address - Street 1:2295 FOREST GLEN DR
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-1587
Practice Address - Country:US
Practice Address - Phone:215-343-8685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-26
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEU1-0001552225X00000X
NJ46TR00681600225X00000X
PAOC013696225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist