Provider Demographics
NPI:1750977666
Name:QUIRK, PAIGE (OTR/L)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:QUIRK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LANDERS RD
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2068
Mailing Address - Country:US
Mailing Address - Phone:774-254-7898
Mailing Address - Fax:
Practice Address - Street 1:9 LANDERS RD
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2068
Practice Address - Country:US
Practice Address - Phone:774-254-7898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI01941225X00000X
MA13802225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist