Provider Demographics
NPI:1881209807
Name:QUINTESSENCE PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:QUINTESSENCE PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SWAPNALI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-200-3945
Mailing Address - Street 1:13740 RESEARCH BLVD STE C3
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1859
Mailing Address - Country:US
Mailing Address - Phone:512-200-3945
Mailing Address - Fax:
Practice Address - Street 1:13740 RESEARCH BLVD STE C3
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1859
Practice Address - Country:US
Practice Address - Phone:512-200-3945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy