Provider Demographics
NPI:1871113365
Name:QUINN, STEPHANIE KAREN (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:KAREN
Last Name:QUINN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MISS
Other - First Name:STEPHANIE
Other - Middle Name:KAREN
Other - Last Name:REIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3201 LYNWOOD LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4107
Mailing Address - Country:US
Mailing Address - Phone:717-817-3972
Mailing Address - Fax:
Practice Address - Street 1:7 E LOCUST ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:PA
Practice Address - Zip Code:19363-1354
Practice Address - Country:US
Practice Address - Phone:610-998-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-24
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP009610224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant