Individual
JESSE JAY QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 CANTWELL LN, CORPUS CHRISTI, TX 78408-2605
(361) 882-4284
Mailing address
6617 WEBER RD APT 8108, CORPUS CHRISTI, TX 78413-2078
(361) 249-2184
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215010
TX
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
215010
TX
225XG0600X
Gerontology Occupational Therapist
215010
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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