Individual
CARLA JEAN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2 KROSS KEYS DR, ALBANY, NY 12205-1466
(518) 438-4800
Mailing address
53 HISTORY HILLS CT, LATHAM, NY 12110-3764
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
008203
NY
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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