Individual
TIMOTHY O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1755 ORANGE AVE, COSTA MESA, CA 92627-3130
(657) 616-5217
Mailing address
19702 CONSTELLATION LN, HUNTINGTON BEACH, CA 92646-3710
(657) 616-5217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
98136
CA
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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