Provider Demographics
NPI:1316237746
Name:FLYNN, CHRISTOPHER A (DPT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:A
Last Name:FLYNN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:713 MISSION AVE
Mailing Address - Street 2:STE B
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-2852
Mailing Address - Country:US
Mailing Address - Phone:760-729-7298
Mailing Address - Fax:760-729-7206
Practice Address - Street 1:3633 VISTA WAY
Practice Address - Street 2:101
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4568
Practice Address - Country:US
Practice Address - Phone:760-729-7298
Practice Address - Fax:760-729-7206
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2017-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA37685225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist