Individual
JENNY FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
610 LODGE DR, JORDAN, MN 55352-1098
(952) 492-2308
Mailing address
610 LODGE DR, JORDAN, MN 55352-1098
(952) 492-2308
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A368
MN
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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