Healthcare Provider Details

I. General information

NPI: 1528024775
Provider Name (Legal Business Name): JOSEPH FRANCIS OCONNOR PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 01/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 WHITE HORSE PIKE
HADDON TOWNSHIP NJ
08107-1036
US

IV. Provider business mailing address

1103 WHITE HORSE PIKE
HADDON TOWNSHIP NJ
08107-1036
US

V. Phone/Fax

Practice location:
  • Phone: 856-858-9601
  • Fax: 856-858-1363
Mailing address:
  • Phone: 856-858-9601
  • Fax: 856-858-1363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberQA02721
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: