Healthcare Provider Details

I. General information

NPI: 1396941514
Provider Name (Legal Business Name): SHERYL MAUREEN FLYNN P.T., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERYL MAUREEN ASHFORD P.T., PH.D.

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 LINCOLN AVE STE 118
ALTADENA CA
91001-5479
US

IV. Provider business mailing address

2400 LINCOLN AVE STE 118
ALTADENA CA
91001-5479
US

V. Phone/Fax

Practice location:
  • Phone: 626-296-6400
  • Fax:
Mailing address:
  • Phone: 626-296-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT33704
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: