Individual
JODY MAUREEN FLYNN X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
160 PARIS AVE STE 2, NORTHVALE, NJ 07647-2043
(201) 767-6700
Mailing address
10 SYCAMORE CT, WESTWOOD, NJ 07675-3512
(201) 497-5841
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA40QB00220400
NJ
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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