Healthcare Provider Details

I. General information

NPI: 1427899244
Provider Name (Legal Business Name): CONNOR DANIEL LYNN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2024
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7051 COMMERCE CIR
PLEASANTON CA
94588-8028
US

IV. Provider business mailing address

7051 COMMERCE CIR STE B
PLEASANTON CA
94588-8028
US

V. Phone/Fax

Practice location:
  • Phone: 408-515-4843
  • Fax:
Mailing address:
  • Phone: 408-515-4843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310295
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: