Basic Information
| Provider Information | |||||||||
| NPI: | 1679790216 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | QUAID | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | JOY | ||||||||
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| Credential: | MOT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1N598 TURNBERRY LN | ||||||||
| Address2: | |||||||||
| City: | WINFIELD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601902337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6308718087 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1921 W HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857047806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5207422800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 3899 | AZ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.