Individual
DEREK QUINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 E HIGHLAND AVE, REDLANDS, CA 92374-6233
(909) 793-2678
Mailing address
11462 HIDEAWAY LN, FONTANA, CA 92337-0826
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51133
CA
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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