Basic Information
| Provider Information | |||||||||
| NPI: | 1811595887 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | QUINN | ||||||||
| FirstName: | MEGHAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 S EADS ST APT 109 | ||||||||
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| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222023104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6316170159 | ||||||||
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| Practice Location | |||||||||
| Address1: | 14409 GREENVIEW DR STE 102 | ||||||||
| Address2: | |||||||||
| City: | LAUREL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207084213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014988100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2020 | ||||||||
| LastUpdateDate: | 03/05/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 0119008723 | VA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225X00000X | 09128 | MD | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.