Individual
CHRISTINA QUAINTANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
E8314 STATE ROAD 54, NEW LONDON, WI 54961-7919
(920) 470-0340
Mailing address
312 E 14TH ST, KAUKAUNA, WI 54130-3371
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5042-27
WI
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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