Individual
DR. EVAN ROBERT LAZ FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.,D.P.T.
Contact information
Practice address
321 MAIN ST STE D, WINOOSKI, VT 05404-1380
(802) 864-3785
(802) 864-0274
Mailing address
321 MAIN ST STE D, WINOOSKI, VT 05404-1380
(802) 864-3785
(802) 864-0274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0133981
VT
225100000X
Physical Therapist
293084
CA
225100000X
Physical Therapist
4587
ME
Other
Enumeration date
01/07/2016
Last updated
03/24/2018
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