Individual
KATHERINE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4840 PINE ST, APT C307, PHILADELPHIA, PA 19143-1722
(240) 423-8678
Mailing address
4840 PINE ST, APT C307, PHILADELPHIA, PA 19143-1722
(240) 423-8678
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013147
PA
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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