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NPI Code Detail

MEDICARE: QUINCHEL KENT OT

MEDICARE:   QUINCHEL  KENT  OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist3124AZ
2225X00000XOccupational Therapist7101CA

General Provider Information

NPI Number : 1861812679
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUINCHEL KENT OT
Provider Business Mailing Address
First Line : 9155 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-2410
Country : US
Telephone Number : 602-218-9483
Fax Number :
Provider Business Practice Location Address
First Line : 9155 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-2410
Country : US
Telephone Number : 602-218-9483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2014
Last Update Date : 04/19/2014

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Directions to “ QUINCHEL KENT OT” Practice Location

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