Individual
MISS COLLEEN SHEA O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
19510 VENTURA BLVD, SUITE 106, TARZANA, CA 91356-2969
(818) 996-1725
(818) 996-0210
Mailing address
19510 VENTURA BLVD, SUITE 106, TARZANA, CA 91356-2969
(818) 996-1725
(818) 996-0210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39207
CA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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