Provider Demographics
NPI:1841365350
Name:O'FLYNN, CYNTHIA DIANE (MED, ATR-BC, CTS)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:DIANE
Last Name:O'FLYNN
Suffix:
Gender:F
Credentials:MED, ATR-BC, CTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26070 FARMBROOK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1175
Mailing Address - Country:US
Mailing Address - Phone:248-743-9407
Mailing Address - Fax:
Practice Address - Street 1:1200 STEPHENSON HWY
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1115
Practice Address - Country:US
Practice Address - Phone:248-743-9407
Practice Address - Fax:248-743-9430
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist