Healthcare Provider Details

I. General information

NPI: 1326517889
Provider Name (Legal Business Name): REBECCA L CONNOR DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2018
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 E EUCLID AVE STE A
HADDONFIELD NJ
08033-2300
US

IV. Provider business mailing address

15 E EUCLID AVE STE A
HADDONFIELD NJ
08033-2300
US

V. Phone/Fax

Practice location:
  • Phone: 215-300-6816
  • Fax: 856-429-0649
Mailing address:
  • Phone: 215-300-6816
  • Fax: 856-429-0649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC011418
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: