Provider Demographics
NPI:1356569313
Name:FLOWERS, DONNA MARIE (PT, ATC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:BURDEN
Other - Last Name:FLOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, ATC
Mailing Address - Street 1:100 SHIRE CT
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1632
Mailing Address - Country:US
Mailing Address - Phone:408-373-6392
Mailing Address - Fax:
Practice Address - Street 1:14675 WINCHESTER BLVD
Practice Address - Street 2:BAYSPORT PT
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1816
Practice Address - Country:US
Practice Address - Phone:408-395-8851
Practice Address - Fax:408-395-8841
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT14840225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist