Individual
MARY O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
175 S UNION BLVD, SUITE 255, COLORADO SPRINGS, CO 80910-3113
(719) 305-8000
Mailing address
175 S UNION BLVD, SUITE 255, COLORADO SPRINGS, CO 80910-3113
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTL0013026
CO
Other
Enumeration date
09/29/2015
Last updated
10/01/2015
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