Provider Demographics
NPI:1740612381
Name:FLORES, LAINA K (PT)
Entity Type:Individual
Prefix:
First Name:LAINA
Middle Name:K
Last Name:FLORES
Suffix:
Gender:F
Credentials:PT
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Other - First Name:
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Mailing Address - Street 1:11212 HIGHWAY 151
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4498
Mailing Address - Country:US
Mailing Address - Phone:210-804-5400
Mailing Address - Fax:210-678-4138
Practice Address - Street 1:11212 HIGHWAY 151
Practice Address - Street 2:SUITE 150
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4498
Practice Address - Country:US
Practice Address - Phone:210-804-5400
Practice Address - Fax:210-678-4138
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2014-09-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX12332232251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic