Quenton Mccallister

NPI 1255777173 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1255777173
Gender Male
Enumeration Date 05/18/2013
Last Updated 05/18/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
1475 N GRANITE REEF RD
SCOTTSDALE AZ, 85257-3919, US
Phone (480) 990-1904
Fax
Business Location
2902 W SWEETWATER AVE APT 3190
PHOENIX AZ, 85029-6309, US
Phone
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Arizona
License Number 4877
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According to our database, Quenton Mccallister NPI is 1255777173, taxonomy code is 224Z00000X and license number is 4877, license state is located at Arizona. Quenton Mccallister physically located at 1475 N Granite Reef Rd, Scottsdale AZ, 85257-3919. NPI Number Quenton Mccallister has the Individual type.

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1255777173 NPI number is provided on an as is basis without warranty of any kind. 1255777173 is maintained by the National Plan & Provider Enumeration System. The contents of Quenton Mccallister are for informational purposes only.