Individual
MS. RTIA FAYE QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(605) 382-7979
(877) 534-4431
Mailing address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(605) 382-7979
(877) 534-4431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
224
AR
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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