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NPI Code Detail

MEDICARE: JARED FLYNN DPT

MEDICARE: JARED FLYNN DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP22184NC

General Provider Information

NPI Number : 1639869639
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED FLYNN DPT
Provider Business Mailing Address
First Line : PO BOX 412313
Second Line :
City : BOSTON
State : MA
Zip : 02241-2313
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9216 ARDREY KELL RD STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-4954
Country : US
Telephone Number : 980-556-7330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2023
Last Update Date : 06/01/2026

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Directions to “ JARED FLYNN DPT” Practice Location

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