Provider Demographics
NPI:1154475481
Name:FLYNN, EMILY N (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:N
Last Name:FLYNN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 GREENO RD S
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-1902
Mailing Address - Country:US
Mailing Address - Phone:251-928-3909
Mailing Address - Fax:251-928-3984
Practice Address - Street 1:243 GREENO RD S
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-1902
Practice Address - Country:US
Practice Address - Phone:251-928-3909
Practice Address - Fax:251-928-3984
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10910225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist