Individual
YADI QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 OAK ST, PRAIRIE DU SAC, WI 53578-1554
(608) 643-3311
Mailing address
90 OAK ST, PRAIRIE DU SAC, WI 53578-1554
(608) 643-3311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
513438
WI
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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