Provider Demographics
NPI:1720157217
Name:O'CONNOR, CLAUDIA PATRICIA (PT)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:PATRICIA
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:PATRICIA
Other - Last Name:HARDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2711 E. COAST HWY
Mailing Address - Street 2:206
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-4822
Mailing Address - Country:US
Mailing Address - Phone:714-504-2234
Mailing Address - Fax:949-675-2992
Practice Address - Street 1:2711 E COAST HWY
Practice Address - Street 2:SUITE 206
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-2104
Practice Address - Country:US
Practice Address - Phone:949-675-2922
Practice Address - Fax:949-675-2992
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT271432251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic