Provider Demographics
NPI:1063639136
Name:FLEMING, CYNTHIA L
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:L
Last Name:FLEMING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7071 W HILLCREST BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85310-5255
Mailing Address - Country:US
Mailing Address - Phone:623-376-3900
Mailing Address - Fax:623-376-3980
Practice Address - Street 1:7071 W HILLCREST BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85310-5255
Practice Address - Country:US
Practice Address - Phone:623-376-3900
Practice Address - Fax:623-376-3980
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2926225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist