Individual
MRS. ELAINE QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
855 S 8TH ST, BEAUMONT, TX 77701-4603
(409) 838-6568
(409) 838-1337
Mailing address
855 S 8TH ST, BEAUMONT, TX 77701-4603
(409) 838-6568
(409) 838-1337
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T6717
BCBS
TX
05
—
PENDING
—
TX
Enumeration date
12/08/2006
Last updated
07/08/2007
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