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NPI Code Detail

MEDICARE: NOAH FLORES DPT

MEDICARE: NOAH FLORES DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistLPT-32538AZ

General Provider Information

NPI Number : 1679382659
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH FLORES DPT
Provider Business Mailing Address
First Line : 408 E CAMPO BELLO DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-2360
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4635 N 14TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-4016
Country : US
Telephone Number : 602-264-9039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2025
Last Update Date : 01/03/2025

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Directions to “ NOAH FLORES DPT” Practice Location

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