Individual
ANDREA ELIZABETH QUINTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC LAT
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
541 CHICORY LN, VALPARAISO, IN 46385-8390
(708) 768-1856
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002322A
IN
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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