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Individual
LISA QUINTANA
Active
Individual
LISA QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
6056760-2401
UT
Other
Enumeration date
08/30/2006
Last updated
03/07/2019
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