Individual
MRS. LISA MARIE FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
12105 AMBASSADOR DRIVE, LIBERTY HEIGHTS (PARAGON REHAB), COLORADO SPRINGS, CO 80921
(719) 493-9667
Mailing address
12105 AMBASSADOR DRIVE, LIBERTY HEIGHTS (PARAGON REHAB), COLORADO SPRINGS, CO 80921
(719) 439-9667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2059028
TX
225200000X
Physical Therapy Assistant
P1 60415386
WA
225200000X
Physical Therapy Assistant
PTA-3689
ID
225200000X
Physical Therapy Assistant
Primary
PTA.0012393
CO
Other
Enumeration date
02/17/2007
Last updated
04/06/2018
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