# B OCONNOR MD A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ReAbility MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306558507
- **Authorized official:** DR. BETHANY MARIE STELNICKI O'CONNOR MD (PRESIDENT)
- **Authorized official phone:** (949) 381-1169

## Contact information

- **Practice address:** 881 DOVER DR STE 120, NEWPORT BEACH, CA 92663-6941
- **Practice address phone:** (949) 381-1169
- **Practice address fax:** (949) 520-6662
- **Mailing address:** 881 DOVER DR STE 120, NEWPORT BEACH, CA 92663-6941
- **Mailing address phone:** (949) 381-1169
- **Mailing address fax:** (949) 520-6662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2022
- **Last updated:** 05/03/2023