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Individual

BARBARA QUINTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-1117
(208) 381-2178
Mailing address
14274 W WOODSPRING DR, BOISE, ID 83713-0924

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT533
ID

Other

Enumeration date
07/18/2016
Last updated
07/18/2016
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