Individual
MR. KEVIN JAMES DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
183 WASHINGTON AVE, PATCHOGUE, NY 11772-2756
(703) 966-7868
Mailing address
183 WASHINGTON AVE, PATCHOGUE, NY 11772-2756
(703) 966-7868
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
009133-1
NY
225X00000X
Occupational Therapist
OT002773
GA
225X00000X
Occupational Therapist
OT010000440
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000845413B
—
GA
Enumeration date
06/15/2009
Last updated
05/28/2015
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