Individual
MRS. COLEEN BENGCO QUINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8111 PRISCILLA AVE., DOWNEY, CA 90242
(773) 920-8269
Mailing address
8111 PRISCILLA AVE., DOWNEY, CA 90242
(773) 920-8269
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9440
CA
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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