Individual
SHAUN R OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1050 HINESBURG RD, SUITE B, SOUTH BURLINGTON, VT 05403-7621
(802) 864-0015
(802) 863-4988
Mailing address
1050 HINESBURG RD, SUITE B, SOUTH BURLINGTON, VT 05403-7621
(802) 864-0015
(802) 863-4988
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400002899
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06528695
BLUE CROSS
—
01
—
43V010
MVP
—
01
—
5206001
VMC GMI
—
Enumeration date
11/10/2006
Last updated
08/12/2015
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