Provider Demographics
NPI:1821024225
Name:QUINTOS, ANNA-DAHLIA M (PT)
Entity Type:Individual
Prefix:
First Name:ANNA-DAHLIA
Middle Name:M
Last Name:QUINTOS
Suffix:
Gender:F
Credentials:PT
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Other - Credentials:
Mailing Address - Street 1:59 MAIN ST
Mailing Address - Street 2:201
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-5341
Mailing Address - Country:US
Mailing Address - Phone:973-669-8091
Mailing Address - Fax:973-669-8092
Practice Address - Street 1:59 MAIN ST
Practice Address - Street 2:201
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5341
Practice Address - Country:US
Practice Address - Phone:973-669-8091
Practice Address - Fax:973-669-8092
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2008-06-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
099252BMPMedicare ID - Type Unspecified