Provider Demographics
NPI:1295163475
Name:FLYNN, KERI ANN (PHYSICAL THERAPIST A)
Entity type:Individual
Prefix:MRS
First Name:KERI
Middle Name:ANN
Last Name:FLYNN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1392 ALBANY POST RD
Mailing Address - Street 2:RICHARD MADISON ASSOCIATES INC
Mailing Address - City:CROTON-ON-HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520
Mailing Address - Country:US
Mailing Address - Phone:914-816-8969
Mailing Address - Fax:
Practice Address - Street 1:1392 ALBANY POST RD
Practice Address - Street 2:
Practice Address - City:CROTON-ON-HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520
Practice Address - Country:US
Practice Address - Phone:914-816-8969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0004603-1225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant