Provider Demographics
NPI:1588834055
Name:O'CONNOR, PATRICIA A (PT)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:O'CONNOR
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 1:411 E 10TH ST
Mailing Address - Street 2:18H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-4227
Mailing Address - Country:US
Mailing Address - Phone:212-780-6047
Mailing Address - Fax:
Practice Address - Street 1:411 E 10TH ST
Practice Address - Street 2:18H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-4227
Practice Address - Country:US
Practice Address - Phone:212-780-6047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009831225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist