Provider Demographics
NPI:1427141266
Name:O'CONNOR, BARBARA JEANNE (PT)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEANNE
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 1:463 OLD BILLERICA RD # A
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1256
Mailing Address - Country:US
Mailing Address - Phone:978-590-3149
Mailing Address - Fax:781-275-7040
Practice Address - Street 1:463 OLD BILLERICA RD # A
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1256
Practice Address - Country:US
Practice Address - Phone:978-590-3149
Practice Address - Fax:781-275-7040
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6550225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist