National Provider Identifier

Quinn Pamela Ravener

Quinn Pamela Ravener is listed in the NPPES registry with a primary specialty of Occupational Therapist in Kenmore, NY and a listed phone number of (716) 871-9883.

NPI 1093065799Kenmore, NYOccupational Therapist

Profile Overview

NPI
1093065799
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
September 11, 2012
Last Updated
September 11, 2012

Practice Location

  • 2900 Delaware Ave
  • Kenmore, NY 14217-2309

Phone: (716) 871-9883

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1093065799
Entity Type
Individual
Last Name
Ravener
First Name
Quinn
Middle Name
Pamela
Mailing Street Address
2900 Delaware Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2309
Mailing Country
US
Mailing Phone
(716) 871-9883
Mailing Fax
(716) 871-9887
Practice Street Address
2900 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2309
Practice Country
US
Practice Phone
(716) 871-9883
Practice Fax
(716) 871-9887
Enumeration Date
September 11, 2012
Last Updated
September 11, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)