Provider Demographics
NPI:1427097245
Name:QUIRE, DRUE STRAUB (MOTRL)
Entity type:Individual
Prefix:MRS
First Name:DRUE
Middle Name:STRAUB
Last Name:QUIRE
Suffix:
Gender:F
Credentials:MOTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 N ENGLAND ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-4312
Mailing Address - Country:US
Mailing Address - Phone:502-727-1815
Mailing Address - Fax:
Practice Address - Street 1:34 N ENGLAND ST UNIT B
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-4312
Practice Address - Country:US
Practice Address - Phone:027-271-8155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12811225XG0600X, 225XP0019X, 225XP0200X, 225X00000X, 224ZL0004X, 225XE0001X, 225XF0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No224ZL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantLow Vision
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000221658OtherANTHEM
4172212Medicare ID - Type Unspecified
4172213Medicare ID - Type Unspecified
000000221658OtherANTHEM
4172211Medicare ID - Type Unspecified