Individual
MARY COLLEEN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1301 HERR LN, LOUISVILLE, KY 40222-4377
(502) 412-9383
Mailing address
1301 HERR LN, LOUISVILLE, KY 40222-4377
(502) 412-9383
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY1925
KY
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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