Provider Demographics
NPI:1811459589
Name:O'QUINN, AMBER MICHELLE (MS, ATC, LAT, ITAT)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MICHELLE
Last Name:O'QUINN
Suffix:
Gender:F
Credentials:MS, ATC, LAT, ITAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 MEADOWWALK DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2601
Mailing Address - Country:US
Mailing Address - Phone:912-202-3138
Mailing Address - Fax:
Practice Address - Street 1:2125 MEADOWWALK DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-2601
Practice Address - Country:US
Practice Address - Phone:912-202-3138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0025132255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer