Individual
MARY-ETTA THERESA QUINTEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3033 SARNO RD, MELBOURNE, FL 32934-7229
(321) 610-8979
Mailing address
3033 SARNO RD, MELBOURNE, FL 32934-7229
(321) 610-8979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
001289
CT
224Z00000X
Occupational Therapy Assistant
Primary
OTA14508
FL
Other
Enumeration date
11/29/2012
Last updated
08/30/2016
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