Individual
JULIAN QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
(575) 522-0404
Mailing address
3204 W 8TH ST, ROSWELL, NM 88201-1004
(575) 910-4802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-2023-0190
NM
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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