Healthcare Provider Details

I. General information

NPI: 1093663908
Provider Name (Legal Business Name): QUINN ORTHOPEDIC PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20823 STEVENS CREEK BLVD STE 200
CUPERTINO CA
95014-2112
US

IV. Provider business mailing address

20823 STEVENS CREEK BLVD STE 200
CUPERTINO CA
95014-2112
US

V. Phone/Fax

Practice location:
  • Phone: 408-252-6076
  • Fax: 408-262-1159
Mailing address:
  • Phone: 408-252-6076
  • Fax: 408-262-1159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEFANIE DUFRESNE
Title or Position: MANAGER
Credential:
Phone: 408-252-6076