Individual
DIANE M O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
655 DEDHAM ST, WRENTHAM, MA 02093-1135
(508) 384-3400
Mailing address
130 EVERETT ST, WRENTHAM, MA 02093-1122
(508) 384-0030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3728
MA
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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