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Individual

QUINTASHA CASSANDRA BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
7180 ELLERSON MILL CIR APT D, MECHANICSVILLE, VA 23111-5235
(804) 615-7139
Mailing address
7180 ELLERSON MILL CIR APT D, MECHANICSVILLE, VA 23111-5235
(804) 615-7139

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002328
VA

Other

Enumeration date
06/15/2023
Last updated
06/15/2023
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