Provider Demographics
NPI:1588480347
Name:SAMMY FLYNN THERAPY SOLUTIONS INC
Entity type:Organization
Organization Name:SAMMY FLYNN THERAPY SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:217-663-3542
Mailing Address - Street 1:18490 N 1400TH ST
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-7016
Mailing Address - Country:US
Mailing Address - Phone:217-663-3542
Mailing Address - Fax:833-466-1821
Practice Address - Street 1:18490 N 1400TH ST
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-7016
Practice Address - Country:US
Practice Address - Phone:217-663-3542
Practice Address - Fax:833-466-1821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1194232314OtherOCCUPATIONAL THERAPIST