Doctor Name: | MISS TARA QUINTON |
NPI Number: | 1861591893 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT20694 |
Business Practice Address: | 1701 Park Ave Orange Park, FL - 320734946 |
Business Phone Number: | 9042698662 |
Business Fax Number: | 9042698839 |
Mailing Address: | 9429 Hunston Mill Ln, JACKSONVILLE |
State: | FL |
Postal Code: | 322448423 |
Phone Number: | 9048036425 |
Fax Number: | 9049089665 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT20694 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |