Individual
IRMGARD CONSTANCE OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7301 PEAK DR, STE 150, LAS VEGAS, NV 89128-9037
(702) 804-0026
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077
LICENSE #
NV
Enumeration date
08/30/2006
Last updated
09/10/2015
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