Provider Demographics
NPI:1518353960
Name:CRAIG-JONES AND FLYNN PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:CRAIG-JONES AND FLYNN PHYSICAL THERAPY PC
Other - Org Name:PIPELINE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:623-261-8703
Mailing Address - Street 1:1015 LANZA CT
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-4624
Mailing Address - Country:US
Mailing Address - Phone:623-261-8703
Mailing Address - Fax:
Practice Address - Street 1:713 MISSION AVE STE B
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-2852
Practice Address - Country:US
Practice Address - Phone:623-261-8703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-13
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty