Provider Demographics
NPI:1669726915
Name:O'CONNOR, PATRICIA L (MA, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:L
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 STANDISH DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2542
Mailing Address - Country:US
Mailing Address - Phone:973-246-3652
Mailing Address - Fax:
Practice Address - Street 1:89 STANDISH DR
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2542
Practice Address - Country:US
Practice Address - Phone:973-246-3652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTR00314500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist