Provider Demographics
NPI:1477747830
Name:FLORES, DEBORAH JEAN (MS, ED, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:JEAN
Last Name:FLORES
Suffix:
Gender:F
Credentials:MS, ED, OTR/L
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:JEAN
Other - Last Name:DURAN-FLORES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS ED, OTR/L
Mailing Address - Street 1:501 HARBOR BLVD
Mailing Address - Street 2:#305
Mailing Address - City:LA HABRA,
Mailing Address - State:CA
Mailing Address - Zip Code:90631-0337
Mailing Address - Country:US
Mailing Address - Phone:562-690-0787
Mailing Address - Fax:562-891-0093
Practice Address - Street 1:18259 MIDBURY ST
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-7204
Practice Address - Country:US
Practice Address - Phone:562-644-1824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3205225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics