Healthcare Provider Details

I. General information

NPI: 1447339981
Provider Name (Legal Business Name): CATHERINE MARY O'CONNOR PT, MS, OCS, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 09/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 POST ST STE 460 BOX 1661
SAN FRANCISCO CA
94115-3466
US

IV. Provider business mailing address

2330 POST ST STE 460 BOX 1661
SAN FRANCISCO CA
94115-3466
US

V. Phone/Fax

Practice location:
  • Phone: 415-885-7580
  • Fax:
Mailing address:
  • Phone: 415-885-7580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number19642
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number95003043
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: