Doctor Name: | STACI L FLYNN |
NPI Number: | 1598819658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 17681 |
Business Practice Address: | 235 Newbury St Route 1 Northbound Danvers, MA - 019231001 |
Business Phone Number: | 9787743888 |
Business Fax Number: | 9787742992 |
Mailing Address: | 235 Newbury St, Route 1 Northbound DANVERS |
State: | MA |
Postal Code: | 019231001 |
Phone Number: | 9787743888 |
Fax Number: | 9787742992 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 06/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 17681 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |