O'Hara, Mary E.

O'Hara, Mary E. is an individual health care provider with primary practice located at 130B Grove St , New Milford CT 06776-3668. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. O'Hara, Mary E. can be contacted via phone (860) 354-7605.

Contact Information

Primary practice address
130B Grove St New Milford CT 06776-3668
Phone: (860) 354-7605
Fax: (860) 355-0089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 003738 Connecticut

Profile Details

NPI number 1699722645
LBN Legal business name O'Hara, Mary E.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Oct 7th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699722645 NPPES
Connecticut Other 080003738 ANTHEM BC
Connecticut MEDICAID 004252904 ANTHEM BC

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