Individual
BONNIE QUINTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1539 SW MOCKINGBIRD CIR, PORT ST LUCIE, FL 34986-2048
(917) 328-5980
Mailing address
1539 SW MOCKINGBIRD CIR, PORT ST LUCIE, FL 34986-2048
(917) 328-5980
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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