Kelley Kathryn O'Connor Park, DPT Valid NPI

Individual provider · Physical Therapist · San Rafael, CA

NPI

1750693115

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

40661 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2010-07-13

Last updated

2020-03-14