Individual
ALAN JESUS QUINONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
35025 90TH AVE S STE 4, ROY, WA 98580-8218
(360) 960-8475
Mailing address
100 DENNIS ST SW STE B, TUMWATER, WA 98501-6523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161488348
WA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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