Doctor Name: | MR. ROBERT MICHAEL QUINTAS |
NPI Number: | 1164536561 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT7611 |
Business Practice Address: | 317 14th St Del Mar, CA - 920142554 |
Business Phone Number: | 8587551229 |
Business Fax Number: | |
Mailing Address: | 259 Stratford Ct, DEL MAR |
State: | CA |
Postal Code: | 920143239 |
Phone Number: | 8587209259 |
Fax Number: | 8587550720 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT7611 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |