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General NPI Number Information
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NPI Number | 1164308037
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Entity Type | Organization
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Legal Business Name | QUINN THERAPY AND ASSOCIATES LLC
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 303 AYRES CIR
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City | BENTON
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State | LA
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Zip | 71006-1008
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Country | US
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Telephone | 318-426-0396
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Fax | 318-426-0396
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Provider Business Mailing Address
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Address Line | 303 AYRES CIR
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City | BENTON
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State | LA
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Zip | 71006-1008
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Country | US
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Telephone | 318-426-0396
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Fax | 318-426-0396
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Authorized Official
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Title or Position | OWNER
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Name | JORDAN QUINN
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Credential | LOTR, CLC
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Telephone | 318-426-0396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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