Individual
ALVARO ALVARADO QUINTANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1707 FOUNTAINVIEW DR, MANSFIELD, TX 76063-5091
(817) 752-9662
Mailing address
1707 FOUNTAINVIEW DR, MANSFIELD, TX 76063-5091
(817) 752-9662
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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