Individual
MRS. KELLY NANZETTA DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
600 N WOLFE ST, MEYER 1-131, BALTIMORE, MD 21287-0005
(410) 614-3234
Mailing address
11910 CEDAR LN, KINGSVILLE, MD 21087-1636
(410) 592-7994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17172
MD
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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