Individual
TODD A CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
287 E SOUTH BLVD, PETERSBURG, VA 23805-2700
(804) 733-1190
Mailing address
3512 AVOCADO DR, MIDLOTHIAN, VA 23112-3485
(804) 305-5567
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-007179
VA
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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