Individual
KELLY JO FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTA
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(956) 605-4105
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(956) 605-4105
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
16624735
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209519
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
09/16/2010
Last updated
09/16/2010
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