Provider Demographics
NPI:1790646099
Name:DANIEL, QUINN MATTHEW (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:QUINN
Middle Name:MATTHEW
Last Name:DANIEL
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1537
Mailing Address - Country:US
Mailing Address - Phone:973-330-7009
Mailing Address - Fax:
Practice Address - Street 1:760 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-6710
Practice Address - Country:US
Practice Address - Phone:973-954-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist