Individual
LISA ROBYN O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1235 PEAR AVE, # 101, MOUNTAIN VIEW, CA 94043-1444
(650) 965-8434
(650) 965-8545
Mailing address
PO BOX 8125, FOUNTAIN VALLEY, CA 92728-8125
(650) 965-8434
(650) 965-8545
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
PT33223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT33223
STATE LICENSE
CA
Enumeration date
02/27/2007
Last updated
11/14/2007
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