Individual
MR. JUAN CARLOS NIETO QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2813 OAK ST, APT 2, JACKSONVILLE, FL 32205-4206
(904) 803-5766
Mailing address
2813 OAK ST, APT 2, JACKSONVILLE, FL 32205-4206
(904) 803-5766
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13979
FL
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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