Individual
MRS. JENNIFER PAIGE FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
20101 SW BIRCH ST, SUITE 140, NEWPORT BEACH, CA 92660-1748
(949) 721-9400
(949) 721-9470
Mailing address
20101 SW BIRCH ST, SUITE 140, NEWPORT BEACH, CA 92660-1748
(949) 721-9400
(949) 721-9470
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
25052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB221439
PTAN
CA
Enumeration date
06/13/2006
Last updated
10/18/2021
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