Provider Demographics
NPI:1043234115
Name:OCONNOR, JOANNE C (PT)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:C
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 FOUNTAIN CT
Mailing Address - Street 2:APT 803
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-1606
Mailing Address - Country:US
Mailing Address - Phone:706-561-5284
Mailing Address - Fax:
Practice Address - Street 1:6298 VETERANS PARKWAY
Practice Address - Street 2:SUITE 5A
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31908-8068
Practice Address - Country:US
Practice Address - Phone:706-320-7762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007109225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist