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MS. LISA M QUINNAN PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1205953668

Individual Registrant:
MS. LISA M QUINNAN PT
Gender: F
Sole Proprietor

Location and contact information for practice:
7101 DR M.L.K. JR STREET N  ST.PETERSBURG, FL 33702 US
Tel: 727-527-7231  Fax: --

Contact information for business:
1658 FRANKLIN WAY  DUNEDIN, FL 34698-6315 US
Tel: 570-575-4024  Fax: --

Registration Information:
NPI: 1205953668
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
PAPT-007330-L
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FL34471

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PT LICENSE NUMBERPT-007330-LPA01
PHYSICAL THERAPY LICENSE FLORIDA34471FL01




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