NPI 1629368212

Danlee Quinlivan, PTA

Practitioner Physical Medicine & Rehabilitation Physician Ridgeland, MS

Practice location

Address: 711 Avignon Dr, Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Mailing address: 4005 Chamberlain Ave, Gulfport, MS 39507-3914

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PTA4045 (MS)

Other Physical Medicine & Rehabilitation providers in Mississippi →

Registry record

NPI: 1629368212
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2011
Record last updated: 15 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.