Individual
JESSICA E OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
35 BRUSHBROOM LANE, WEST TISBURY, MA 02575
(508) 221-0583
Mailing address
PO BOX 2498, VINEYARD HAVEN, MA 02568-0922
(508) 221-0583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15457
MH
Other
Enumeration date
11/09/2006
Last updated
11/16/2012
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