Individual
MS. ROSE RENEE QUAINTANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3391 AIRPORT RD, PORTAGE, IN 46368
(219) 762-0821
(219) 763-3637
Mailing address
3452 PENINSULA DR, UNIT 11, PORTAGE, IN 46368
(219) 331-1025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009025A
IN
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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