Individual
CIMMARON FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1011 BERK RD, LEESPORT, PA 19533-8705
(610) 376-4841
Mailing address
238 N CHARLOTTE ST APT 1, POTTSTOWN, PA 19464-6067
(484) 366-6698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010090
PA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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