Individual
COREY QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
415 CARMEN DR, CAMARILLO, CA 93010-6010
(805) 322-9083
Mailing address
8983 ABERDARE ST, VENTURA, CA 93004-2657
(805) 766-8557
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49988
CA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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