Quintilla, Roderick Santos

Quintilla, Roderick Santos is an individual health care provider with primary practice located at 2200 Fort Jesse Rd Suite # 250, Normal IL 67161. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Quintilla, Roderick Santos can be contacted via phone (309) 454-1616.

Contact Information

Primary practice address
2200 Fort Jesse Rd Suite # 250 Normal IL 67161
Phone: (309) 454-1616
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.016182 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 008382 Connecticut

Profile Details

NPI number 1285887935
LBN Legal business name Quintilla, Roderick Santos
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Oct 28th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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