Susan Oconnor

NPI #1518748839 in Broad Channel, New York

Provider Information

NPI Number: 1518748839
Entity Type: Individual
Name: Susan Oconnor
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 12, 2023
Last Updated: Oct 12, 2023

Practice Location

Address: 422 CROSS BAY BLVD
City: Broad Channel
State: New York
ZIP Code: 11693-1027
Phone: (917) 833-4607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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