Provider Demographics
NPI:1568660413
Name:FLORY, MARY RHEA
Entity Type:Individual
Prefix:MISS
First Name:MARY
Middle Name:RHEA
Last Name:FLORY
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 1:4513 ORANGE GROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-4527
Mailing Address - Country:US
Mailing Address - Phone:239-707-9248
Mailing Address - Fax:
Practice Address - Street 1:4513 ORANGE GROVE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-4527
Practice Address - Country:US
Practice Address - Phone:239-707-9248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist