Doctor Name: | KELLY O'CONNOR |
NPI Number: | 1144298944 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | OC009363 |
Business Practice Address: | 721 Dresher Rd Suite 2100 Horsham, PA - 190442220 |
Business Phone Number: | 2156592955 |
Business Fax Number: | 2156590123 |
Mailing Address: | 9235 Darlington Rd, PHILADELPHIA |
State: | PA |
Postal Code: | 191153411 |
Phone Number: | 2156732921 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | OC009363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |