Individual
MS. MOIRA JOSEPHINE O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9050 W.81ST STREET, JUSTICE, IL 60458
(708) 496-7744
Mailing address
8903 EDGEWOOD CT, TINLEY PARK, IL 60477-6164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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