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Individual

JOHN PATRICK DALEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1139 MAIN AVE, WARWICK, RI 02886-1940
(401) 739-6600
Mailing address
35 NELSON ST, ATTLEBORO, MA 02703-4905
(508) 223-2779

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00254
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTA00254
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF HEALTH
Enumeration date
03/09/2015
Last updated
03/09/2015
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