Individual
AMBER ROSE DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 E DEYOUNG ST, MARION, IL 62959-3846
(618) 997-1365
Mailing address
103 E DEYOUNG ST, MARION, IL 62959-2957
(618) 997-1365
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PENDING
IL
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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