Individual
LINDA S FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
4060 ROMA RD, KINGMAN, AZ 86401-8504
(928) 377-3713
Mailing address
4060 ROMA RD, KINGMAN, AZ 86401-8504
(928) 377-3713
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3691
AZ
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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