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Individual
MR. PATRICK D. O'CONNOR
Active
Individual
MR. PATRICK D. O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-011768-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132405
BC/BS PIN
PA
Enumeration date
02/02/2007
Last updated
02/27/2008
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