Provider Demographics
NPI:1801080395
Name:QUINTILLAN, SARAH RASHIDA SALUDSONG (PT)
Entity type:Individual
Prefix:MS
First Name:SARAH RASHIDA
Middle Name:SALUDSONG
Last Name:QUINTILLAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:8847 241ST ST
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1238
Mailing Address - Country:US
Mailing Address - Phone:718-343-3398
Mailing Address - Fax:
Practice Address - Street 1:8847 241ST ST
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-1238
Practice Address - Country:US
Practice Address - Phone:646-479-1640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025218225100000X, 2251E1300X, 2251N0400X, 2251P0200X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, Clinical
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic