Individual
SUSAN OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 CROSS BAY BLVD, BROAD CHANNEL, NY 11693-1027
(917) 833-4607
Mailing address
422 CROSS BAY BLVD, BROAD CHANNEL, NY 11693-1027
(917) 883-4607
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002496-01
NY
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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