Jaclyn R Quintero, PTA

NPI #1023578085 in Fairport, New York

Provider Information

NPI Number: 1023578085
Entity Type: Individual
Name: Jaclyn R Quintero, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 24, 2019
Last Updated: Mar 24, 2019

Practice Location

Address: 149 N MAIN ST
City: Fairport
State: New York
ZIP Code: 14450-1434
Phone: (585) 377-2230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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