MEDICARE: JOSEPH FRANCIS OCONNOR PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	QA02721	NJ

General Provider Information

NPI Number	:	1528024775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH FRANCIS OCONNOR PT

Provider Business Mailing Address
First Line	:	1103 WHITE HORSE PIKE
Second Line	:
City	:	HADDON TOWNSHIP
State	:	NJ
Zip	:	08107-1036
Country	:	US
Telephone Number	:	856-858-9601
Fax Number	:	856-858-1363

Provider Business Practice Location Address
First Line	:	1103 WHITE HORSE PIKE
Second Line	:
City	:	HADDON TOWNSHIP
State	:	NJ
Zip	:	08107-1036
Country	:	US
Telephone Number	:	856-858-9601
Fax Number	:	856-858-1363

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	01/08/2008

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