Doctor Name: | ALYSON O'CONNELL |
NPI Number: | 1003165853 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 20208 |
Business Practice Address: | 2 Ivy Brook Rd Suite 213 Shelton, CT - 064846416 |
Business Phone Number: | 2039242853 |
Business Fax Number: | 2039242865 |
Mailing Address: | 94 Jersey St, DEDHAM |
State: | MA |
Postal Code: | 020264950 |
Phone Number: | 5082855533 |
Fax Number: | 5082857977 |
NPI Enumeration Date: | 09/06/2012 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 20208 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |