| NPI | 1811238645 |
|---|---|
| Former Name | ANGELICA ELIZABETH FLYNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60329481) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10804) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2016-06-14 |