Individual
COLLESE DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1760
Mailing address
13705 CAMELOT FIELD DR, BOWIE, MD 20720-5823
(240) 676-6558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2024
Last updated
09/29/2025
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