Provider Demographics
NPI:1528024775
Name:OCONNOR, JOSEPH FRANCIS (PT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FRANCIS
Last Name:OCONNOR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:HADDON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08107-1036
Mailing Address - Country:US
Mailing Address - Phone:856-858-9601
Mailing Address - Fax:856-858-1363
Practice Address - Street 1:1103 WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08107-1036
Practice Address - Country:US
Practice Address - Phone:856-858-9601
Practice Address - Fax:856-858-1363
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA02721225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist