Individual
QUENTON MCCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1475 N GRANITE REEF RD, SCOTTSDALE, AZ 85257
(480) 990-1904
Mailing address
2902 W SWEETWATER AVE APT 3190, PHOENIX, AZ 85029-6309
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4877
AZ
225X00000X
Occupational Therapist
Primary
6034
AZ
Other
Enumeration date
05/18/2013
Last updated
05/30/2018
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