Alan Jesus Quinonez, PTA

Individual provider Active NPI Physical Therapy Assistant · Roy, WA

NPI 1316719446 · NPPES record last updated Oct 23, 2023

Key facts

NPI
1316719446
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
P161488348 (WA)
Practice address
35025 90TH Ave S Ste 4
Roy, WA 98580-8218
Phone
(360) 960-8475
NPI assigned
Oct 23, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P161488348WAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P161488348 WA Yes

Addresses

Primary practice location

35025 90TH Ave S Ste 4
Roy, WA 98580-8218

Mailing address

100 Dennis St SW Ste B
Tumwater, WA 98501-6523

Other providers in Roy, WA

All providers in Roy, WA · Physical Therapy Assistant in Washington

Sources for this page

Verify at the official NPI Registry.