Individual
MARIA LUCIA QUINTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1603 HIGHWAY 20 NE, SUITE 201, CONYERS, GA 30012-3736
(770) 929-8411
(770) 918-1419
Mailing address
585 SUGAR VALLEY TRL SE, CONYERS, GA 30094-3825
(770) 929-3279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008905
GA
225100000X
Physical Therapist
PT20563
FL
Other
Enumeration date
06/24/2005
Last updated
07/08/2007
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