Individual
REBECCA O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6529 N BRAEBURN LN, GLENDALE, WI 53209-3323
(612) 310-6726
Mailing address
6529 N BRAEBURN LN, GLENDALE, WI 53209-3323
(612) 310-6726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146008915
IL
Other
Enumeration date
02/27/2008
Last updated
06/18/2013
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