Healthcare Provider Details

I. General information

NPI: 1629486345
Provider Name (Legal Business Name): ERIN MARY QUIGLEY MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2014
Last Update Date: 07/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6521 ARLINGTON BLVD. #312
FALLS CHURCH VA
22042
US

IV. Provider business mailing address

6521 ARLINGTON BLVD. #312
FALLS CHURCH VA
22042
US

V. Phone/Fax

Practice location:
  • Phone: 703-536-1817
  • Fax: 703-536-5677
Mailing address:
  • Phone: 703-536-1817
  • Fax: 703-536-5677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0119006185
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: