Provider Demographics
NPI:1447339981
Name:O'CONNOR, CATHERINE MARY (PT, MS, OCS, NP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARY
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:PT, MS, OCS, NP
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Mailing Address - Street 1:2330 POST ST STE 460
Mailing Address - Street 2:BOX 1661
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3466
Mailing Address - Country:US
Mailing Address - Phone:415-885-7580
Mailing Address - Fax:
Practice Address - Street 1:2330 POST ST STE 460
Practice Address - Street 2:BOX 1661
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3466
Practice Address - Country:US
Practice Address - Phone:415-885-7580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA19642225100000X
CA95003043363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist