Individual
ERIC MICHAEL QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2801 SARATOGA ST, SHAWNEE, OK 74804-1739
(405) 273-5801
(405) 878-3814
Mailing address
2801 SARATOGA ST, SHAWNEE, OK 74804-1739
(405) 273-5801
(405) 878-3814
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3907
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201173280A
—
OK
01
—
3907
OKLAHOMA PT LICENSE NUM
OK
Enumeration date
07/27/2006
Last updated
11/26/2024
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