Individual
ETHAN FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4850 E MAIN ST STE 130, COLUMBUS, OH 43213-3194
(614) 897-0301
Mailing address
4850 E MAIN ST STE 130, COLUMBUS, OH 43213-3194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008771
KY
Other
Enumeration date
06/07/2023
Last updated
10/01/2024
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