Individual
CHRISTOPHER OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4077 DALE RD APT C, MODESTO, CA 95356-9607
(209) 652-3817
Mailing address
4077 DALE RD APT C, MODESTO, CA 95356-9607
(209) 652-3817
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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