Individual
BREANNA NIKKOLE DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 MARTIN LUTHER KING JR. DRIVE, 432 FL ATKINS BUILDING, WINSTON-SALEM, NC 27110-0001
(336) 750-2000
Mailing address
601 MARTIN LUTHER KING JR. DRIVE, 432 FL ATKINS BUILDING, WINSTON-SALEM, NC 27110-0001
(336) 750-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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