Individual
MRS. COLEEN M O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
6-16 E BLACKWELL ST, DOVER, NJ 07801-4664
(201) 400-0219
Mailing address
10 BALCHEN WAY, ROCKAWAY, NJ 07866-4702
(201) 400-0219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26BT00224700
NJ
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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