Provider Demographics
NPI:1720313729
Name:QUINTER, CHRISTY STANZ (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:STANZ
Last Name:QUINTER
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 1:3938 BITTER SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:FORT IRWIN
Mailing Address - State:CA
Mailing Address - Zip Code:92310-1597
Mailing Address - Country:US
Mailing Address - Phone:760-386-2219
Mailing Address - Fax:
Practice Address - Street 1:100 VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-7003
Practice Address - Country:US
Practice Address - Phone:760-252-6280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT10131225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist