Kelley Kathryn O'connor Park DPT

NPI 1750693115 - Physical Therapist - 225100000X

NPI Details
NPI 1750693115
Gender Female
Enumeration Date 07/13/2010
Last Updated 03/26/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
454 FOREST AVE
PALO ALTO CA, 94301-2608, US
Phone (650) 331-3700
Fax (650) 331-3730
Business Location
454 FOREST AVE
PALO ALTO CA, 94301-2608, US
Phone (650) 331-3700
Fax (650) 331-3730
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070017799
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According to our database, Kelley Kathryn O'connor Park DPT NPI is 1750693115, taxonomy code is 225100000X and license number is 070017799, license state is located at Illinois. Kelley Kathryn O'connor Park DPT physically located at 454 Forest Ave, Palo Alto CA, 94301-2608. NPI Number Kelley Kathryn O'connor Park DPT has the Individual type.

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1750693115 NPI number is provided on an as is basis without warranty of any kind. 1750693115 is maintained by the National Plan & Provider Enumeration System. The contents of Kelley Kathryn O'connor Park DPT are for informational purposes only.