Individual
BETHANY DALY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3820 PHEASANT LN, WATERLOO, IA 50701-5200
(319) 233-6995
Mailing address
3820 PHEASANT LN, WATERLOO, IA 50701-5200
(319) 233-6995
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00233
IA
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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