Doctor Name: | SUSAN CAROLINE FLYNN |
NPI Number: | 1003074576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 8297 |
Business Practice Address: | 210 W Magnolia St Suite 110 Fort Collins, CO - 805212915 |
Business Phone Number: | 9702211201 |
Business Fax Number: | 8006750273 |
Mailing Address: | 210 W Magnolia St, Suite 110 FORT COLLINS |
State: | CO |
Postal Code: | 805212915 |
Phone Number: | 9702211201 |
Fax Number: | 8006750273 |
NPI Enumeration Date: | 05/30/2008 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 8297 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |