Individual
KIMBERLY O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
698 JOHANNE PL APT A, COLORADO SPRINGS, CO 80906-6425
(719) 576-3622
Mailing address
698 JOHANNE PL APT A, COLORADO SPRINGS, CO 80906-6425
(719) 576-3622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3714
MA
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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