Provider Demographics
NPI:1083382105
Name:O'CONNOR, AUBREY MARIE (MSOT, OTR)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:MARIE
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:MSOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5545 WATER ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NY
Mailing Address - Zip Code:14507-9621
Mailing Address - Country:US
Mailing Address - Phone:585-355-3068
Mailing Address - Fax:
Practice Address - Street 1:100 SUNSET DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NY
Practice Address - Zip Code:14513-1068
Practice Address - Country:US
Practice Address - Phone:315-332-2317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist