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NPI Code Detail

MEDICARE: BRENDAN CONNOR FLYNN

MEDICARE: BRENDAN CONNOR FLYNN
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
1225X00000XOccupational Therapist126130TX

General Provider Information

NPI Number : 1912854639
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDAN CONNOR FLYNN
Provider Business Mailing Address
First Line : 7 CARNEGIE PLZ
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-1000
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Provider Business Practice Location Address
First Line : 650 S GREENVILLE AVE
Second Line :
City : ALLEN
State : TX
Zip : 75002-3037
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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