Individual
AMY H O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
400 NORWOOD AVE, WEST LONG BRANCH, NJ 07764-1828
(732) 556-7017
Mailing address
400 NORWOOD AVE, WEST LONG BRANCH, NJ 07764-1828
(732) 556-7017
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
25MT00159200
NJ
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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