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Individual

WHITNEY LYNNE QUIAMBAO

Active
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Individual

WHITNEY LYNNE QUIAMBAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, OT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003914
KY
225100000X
Physical Therapist
PT-9563
OH
225X00000X
Occupational Therapist
Primary
OT-05167
OH
225X00000X
Occupational Therapist
R-1875
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000595038
ANTHEM
OH
05
2755577
OH
Enumeration date
10/24/2005
Last updated
01/21/2021
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