Provider Demographics
NPI:1922364223
Name:QUINN, KATHRYN ARLENE (PTA/ RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ARLENE
Last Name:QUINN
Suffix:
Gender:F
Credentials:PTA/ RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11599 N OPEN CT
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-1150
Mailing Address - Country:US
Mailing Address - Phone:954-518-9610
Mailing Address - Fax:
Practice Address - Street 1:11599 N OPEN CT
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-1150
Practice Address - Country:US
Practice Address - Phone:954-518-9610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA9429225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant