Most Relevant Information
Provider Data
| NPI Number: | 1003563248 |
| Provider Name: | ZHAFIERA QUINTASAS INGRAM |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/08/2022 |
| Last Updated: | 03/08/2022 |
Provider Practice Location
120 GEORGE ST APT 405
BENSENVILLE
IL
601063176
Practice Location Phone/Fax
| Phone: | 7085824369 |
| Fax: |
Provider Mailing Location
120 GEORGE ST APT 405
BENSENVILLE
IL
601063176
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |