Provider Demographics
NPI:1326929563
Name:QUAN, ANNA (OTR/L)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:QUAN
Suffix:
Gender:X
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18408 N 46TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1512
Mailing Address - Country:US
Mailing Address - Phone:757-416-4905
Mailing Address - Fax:
Practice Address - Street 1:18408 N 46TH DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1512
Practice Address - Country:US
Practice Address - Phone:757-416-4905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-010092225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty