Individual
MS. ELLEN FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
36510 STONE MANOR LANE, PHILOMONT, VA 20131-0182
(703) 727-4752
Mailing address
PO BOX 182, 36510 STONE MANOR LANE, PHILOMONT, VA 20131-0182
(703) 727-4752
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603376
VA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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