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NPI Code Detail

MEDICARE: MRS. CYNTHIA DIANE O'FLYNN ME.D, ATR-BC, CTS

MEDICARE:  MRS. CYNTHIA DIANE O'FLYNN  ME.D, ATR-BC, CTS
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
1221700000XArt Therapist

General Provider Information

NPI Number : 1841365350
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA DIANE O'FLYNN ME.D, ATR-BC, CTS
Provider Business Mailing Address
First Line : 26070 FARMBROOK RD
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48034-1175
Country : US
Telephone Number : 248-743-9407
Fax Number :
Provider Business Practice Location Address
First Line : 1200 STEPHENSON HWY
Second Line :
City : TROY
State : MI
Zip : 48083-1115
Country : US
Telephone Number : 248-743-9407
Fax Number : 248-743-9430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. CYNTHIA DIANE O'FLYNN ME.D, ATR-BC, CTS” Practice Location

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