Healthcare Provider Details

I. General information

NPI: 1982764239
Provider Name (Legal Business Name): MILDRED MANALOTO PANGILINAN-FLORES OTR-L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MILLY MANALOTO FLORES OTR-L

II. Dates (important events)

Enumeration Date: 12/09/2006
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3341 E QUEEN CREEK RD SUITE 109
GILBERT AZ
85297-8503
US

IV. Provider business mailing address

3341 E QUEEN CREEK RD STE 109
GILBERT AZ
85297-8510
US

V. Phone/Fax

Practice location:
  • Phone: 480-621-8361
  • Fax: 480-621-8513
Mailing address:
  • Phone: 480-621-8361
  • Fax: 480-621-8513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number3028
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3028
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: