Individual
MICHELLE ELEONORA QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1160 VARNUM ST NE STE 315, WASHINGTON, DC 20017-2103
(202) 575-5404
Mailing address
8507 NIGHTINGALE DR, LANHAM, MD 20706-3930
(332) 837-8561
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
09688
MD
225X00000X
Occupational Therapist
Primary
OT210002089
DC
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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