Provider Demographics
NPI:1528666401
Name:MCQUINN, AMBER N (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:N
Last Name:MCQUINN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:N
Other - Last Name:MCQUINN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2495 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-5183
Mailing Address - Country:US
Mailing Address - Phone:812-760-9445
Mailing Address - Fax:
Practice Address - Street 1:4211 GRIMM RD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-9444
Practice Address - Country:US
Practice Address - Phone:812-853-9810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31004792A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist