Provider Demographics
NPI:1184107278
Name:QUINTS, SABRINA (LMT)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:QUINTS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DRYDEN
Mailing Address - State:NY
Mailing Address - Zip Code:13053-8706
Mailing Address - Country:US
Mailing Address - Phone:607-844-3304
Mailing Address - Fax:607-708-4191
Practice Address - Street 1:87 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DRYDEN
Practice Address - State:NY
Practice Address - Zip Code:13053-8706
Practice Address - Country:US
Practice Address - Phone:607-844-3304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027941-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist