Individual
DR. MICHELLE ANN O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.D.
Contact information
Practice address
401 N 2ND ST, GRANTS, NM 87020-2507
(505) 285-2614
(505) 287-8487
Mailing address
10300 GOLF COURSE RD NW, #1217, ALBUQUERQUE, NM 87114-3917
(505) 934-1932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2295
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22473351
—
NM
Enumeration date
01/10/2007
Last updated
07/08/2007
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