Provider Demographics
NPI:1396075925
Name:OCONNOR, MARY M (OTR/L CHT)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:M
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:OTR/L CHT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:102 WEST WALNUT ST.
Mailing Address - Street 2:NORTH WALES HAND REHABILITATION
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454
Mailing Address - Country:US
Mailing Address - Phone:215-699-2844
Mailing Address - Fax:215-699-2845
Practice Address - Street 1:102 WEST WALNUT ST.
Practice Address - Street 2:NORTH WALES HAND REHABILITATION
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454
Practice Address - Country:US
Practice Address - Phone:215-699-2844
Practice Address - Fax:215-699-2845
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC00956L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist