Corey Quintana, PTA
Physical Therapy Assistant in Camarillo, CA. Individual provider (NPI-1).
NPI number1831810845
StatusActive
Last updated in NPPESSep 7, 2022
Details
- NPI
- 1831810845
- Entity type
- Individual (NPI-1)
- Name
- Corey Quintana
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2022
- Certification date
- Sep 7, 2022
- Last updated
- Sep 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 49988 | CA | Yes |
Practice location
415 Carmen DrCamarillo, CA 93010-6010
Phone 805-322-9083
Mailing address
8983 Aberdare StVentura, CA 93004-2657
Phone 805-766-8557
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