Individual
AMANDA QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-5900
(505) 255-5099
(505) 255-5099
Mailing address
6020 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-5900
(505) 255-5099
(505) 255-5099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3620
NM
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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