Individual
CARLO QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
111 W KINGSTON SPRINGS RD STE 102, KINGSTON SPRINGS, TN 37082-9121
(615) 412-1131
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14981
TN
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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