Carlo Quintanilla, DPT | |
111 W Kingston Springs Rd Ste 102, Kingston Springs, TN 37082-9121 | |
(615) 412-1131 | |
Not Available |
Full Name | Carlo Quintanilla |
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Gender | Male |
Speciality | Physical Therapist |
Location | 111 W Kingston Springs Rd Ste 102, Kingston Springs, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891472379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 14981 (Tennessee) | Primary |
Provider Name | Results-ast Jv Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061 |
Mailing Address | Practice Location Address |
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Carlo Quintanilla, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () - | Carlo Quintanilla, DPT 111 W Kingston Springs Rd Ste 102, Kingston Springs, TN 37082-9121 Ph: (615) 412-1131 |
Results-ast Jv, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 W Kingston Springs Rd Ste 102, Kingston Springs, TN 37082 Phone: 615-412-1131 Fax: 615-278-9692 | |
Independent Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 W Kingston Springs Rd Ste 102, Kingston Springs, TN 37082 Phone: 615-412-1131 | |
Caroline Edmondson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 W Kingston Springs Rd, Kingston Springs, TN 37082 Phone: 615-412-1131 |