MEDICARE: HALEY LEIGH QUINLAN DPT

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
1	2251P0200X	Pediatric Physical Therapist	PT012031	GA

General Provider Information

NPI Number	:	1992220784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY LEIGH QUINLAN DPT

Provider Business Mailing Address
First Line	:	660 RALPH MCGILL BLVD NE APT 2692
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30312-1149
Country	:	US
Telephone Number	:	517-883-1209
Fax Number	:

Provider Business Practice Location Address
First Line	:	1631 RICHWOOD DR NE
Second Line	:
City	:	BROOKHAVEN
State	:	GA
Zip	:	30319-3605
Country	:	US
Telephone Number	:	678-386-4395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2017
Last Update Date	:	08/14/2017

Similar Medicare Providers

1487826582 — DR. BRITTANY L JENNINGS PT, DPT
Practice Location Address:

1631 RICHWOOD DR NE
ATLANTA, GA
30319-3605

Practice Phone: 678-386-4395
Practice Fax:

1174956924 — INFANT CONNECTIONS, LLC
Practice Location Address:

1631 RICHWOOD DR NE
ATLANTA, GA
30319-3605

Practice Phone: 678-386-4395
Practice Fax: 678-281-1796

1699805937 — ABSOLUTE CHIROPRACTIC
Practice Location Address:

3605 EDGMONT AVE. , BLDG A
BROOKHAVEN, PA
19015

Practice Phone: 610-876-6180
Practice Fax: 610-876-6130

1538412887 — DISCOVER OPTIMAL HEALTHCARE
Practice Location Address:

3605 EDGMONT AVE
BROOKHAVEN, PA
19015-2862

Practice Phone: 610-876-6180
Practice Fax: 610-876-6130

1235540725 — MRS. AUBREY DELVESCOVO PA-C
Practice Location Address:

3605 EDGMONT AVE
BROOKHAVEN, PA
19015-2807

Practice Phone: 610-876-6180
Practice Fax: 610-876-6130

1942687116 — FREEDOM PHARMACY LLC
Practice Location Address:

3605 EDGMONT AVE , BUILDING B
BROOKHAVEN, PA
19015-2807

Practice Phone: 855-539-7865
Practice Fax: 866-250-1718

Directions to “ HALEY LEIGH QUINLAN DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.