Provider Demographics
NPI:1013476415
Name:ORBIGOSO-CUEVAS, FLORENCE STA JUANA (DPT)
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:STA JUANA
Last Name:ORBIGOSO-CUEVAS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:STA JUANA
Other - Last Name:ORBIGOSO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5240 W AVENUE M2
Mailing Address - Street 2:
Mailing Address - City:QUARTZ HILL
Mailing Address - State:CA
Mailing Address - Zip Code:93536-3023
Mailing Address - Country:US
Mailing Address - Phone:209-600-9100
Mailing Address - Fax:
Practice Address - Street 1:5240 W AVENUE M2
Practice Address - Street 2:
Practice Address - City:QUARTZ HILL
Practice Address - State:CA
Practice Address - Zip Code:93536-3023
Practice Address - Country:US
Practice Address - Phone:209-600-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41305225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist