Provider Demographics
NPI:1568573277
Name:FLOOD, DORIS S (MS PT)
Entity Type:Individual
Prefix:MS
First Name:DORIS
Middle Name:S
Last Name:FLOOD
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:DORIS
Other - Middle Name:JEANETTE
Other - Last Name:SLAWOFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:11178 INDIAN LORE CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127
Mailing Address - Country:US
Mailing Address - Phone:858-451-5610
Mailing Address - Fax:858-485-7052
Practice Address - Street 1:11501 RANCHO BERNARDO
Practice Address - Street 2:STE 100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-1404
Practice Address - Country:US
Practice Address - Phone:858-485-6706
Practice Address - Fax:858-485-7052
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13237225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist