Provider Demographics
NPI:1396941514
Name:FLYNN, SHERYL MAUREEN (PT, PHD)
Entity type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:MAUREEN
Last Name:FLYNN
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:DR
Other - First Name:SHERYL
Other - Middle Name:MAUREEN
Other - Last Name:ASHFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, PHD
Mailing Address - Street 1:2400 LINCOLN AVE STE 118
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-5479
Mailing Address - Country:US
Mailing Address - Phone:626-296-6400
Mailing Address - Fax:
Practice Address - Street 1:2400 LINCOLN AVE STE 118
Practice Address - Street 2:
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-5479
Practice Address - Country:US
Practice Address - Phone:626-296-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT33704225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist