Provider Demographics
NPI:1538416714
Name:FLORES, MARIA ANALY (OTR)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANALY
Last Name:FLORES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ANALY
Other - Last Name:GUTIERREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:15316 HUEBNER RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-0987
Mailing Address - Country:US
Mailing Address - Phone:210-614-4567
Mailing Address - Fax:
Practice Address - Street 1:15316 HUEBNER RD
Practice Address - Street 2:SUITE 202
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-0987
Practice Address - Country:US
Practice Address - Phone:210-614-4567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114808225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist