Provider Demographics
NPI:1548354889
Name:QUINTANA, ARIEL (PT, MS, OCS, FAAOMPT)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:QUINTANA
Suffix:
Gender:F
Credentials:PT, MS, OCS, FAAOMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7951 SHOAL CREEK BLVD STE 225
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-7534
Mailing Address - Country:US
Mailing Address - Phone:512-323-2778
Mailing Address - Fax:512-323-2779
Practice Address - Street 1:7951 SHOAL CREEK BLVD STE 225
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-7534
Practice Address - Country:US
Practice Address - Phone:512-323-2778
Practice Address - Fax:512-323-2779
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1140747225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist