Individual
JULIE O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
547 MARTIN CREEK DR, SIMPSONVILLE, SC 29680-7465
(716) 880-0943
Mailing address
547 MARTIN CREEK DR, SIMPSONVILLE, SC 29680-7465
(716) 880-0943
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
018947
NY
225X00000X
Occupational Therapist
Primary
6831
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8247
—
NY
Enumeration date
07/10/2014
Last updated
10/11/2024
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