Provider Demographics
NPI:1316390180
Name:QUINTANA, GABRIELA L (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:GABRIELA
Middle Name:L
Last Name:QUINTANA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9950 GRANDE LAKES BLVD APT 3414
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-4057
Mailing Address - Country:US
Mailing Address - Phone:787-361-7674
Mailing Address - Fax:
Practice Address - Street 1:9950 GRANDE LAKES BLVD APT 3414
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-4057
Practice Address - Country:US
Practice Address - Phone:787-361-7674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1268225X00000X
FL18871225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist