=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972671048
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA J FLORES
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/30/2006
-----------------------------------------------------
Last Update Date | 11/29/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 690 N COFCO CENTER CT SUITE 260
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85008-6462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-279-6905
-----------------------------------------------------
Fax | 602-279-6934
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 690 N COFCO CENTER CT SUITE 260
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85008-6462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-279-6905
-----------------------------------------------------
Fax | 602-279-6934
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 3755
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------