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NPI Code Detail

MEDICARE: LAURIE SAWIN-QUINN MPT

MEDICARE: LAURIE SAWIN-QUINN MPT
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
1174400000XSpecialistPT 22234CA

General Provider Information

NPI Number : 1306838032
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE SAWIN-QUINN MPT
Provider Business Mailing Address
First Line : 3815 ALAMEDA DE LAS PUGAS
Second Line :
City : MENLO PARK
State : CA
Zip : 94025
Country : US
Telephone Number : 650-233-9873
Fax Number :
Provider Business Practice Location Address
First Line : 2450 EL CAMINO REAL STE 101
Second Line :
City : PALO ALTO
State : CA
Zip : 94306-1706
Country : US
Telephone Number : 650-565-8090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 12/20/2011

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Directions to “ LAURIE SAWIN-QUINN MPT” Practice Location

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