Individual
DIANE M OCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
130 ANSEL HALLET RD, WEST YARMOUTH, MA 02673-2582
(508) 771-1300
(508) 771-3425
Mailing address
19 QUIET ST, EAST SANDWICH, MA 02537-1085
(508) 888-4620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5299
MA
Other
Enumeration date
01/26/2007
Last updated
04/16/2008
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