Individual
JENNIFER O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 GROTKE RD, CHESTNUT RIDGE, NY 10977-7202
(845) 422-0386
Mailing address
135 GROTKE RD, CHESTNUT RIDGE, NY 10977-7202
(845) 422-0386
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009198-1
NY
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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