Doctor Name: | COLLEEN O'CONNOR |
NPI Number: | 1477928406 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 039645-1 |
Business Practice Address: | 287 Northern Blvd Suite 104 Great Neck, NY - 110214700 |
Business Phone Number: | 5164820100 |
Business Fax Number: | 5164820172 |
Mailing Address: | 287 Northern Blvd, Suite 104 GREAT NECK |
State: | NY |
Postal Code: | 110214700 |
Phone Number: | 5164820100 |
Fax Number: | 5164820172 |
NPI Enumeration Date: | 12/02/2015 |
NPI Last Update Date: | 12/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 039645-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |