Individual
LISA DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 NORTHVIEW DR APT 1, FORT WALTON BEACH, FL 32547-1372
(850) 910-1212
Mailing address
104 NORTHVIEW DR APT 1, FORT WALTON BEACH, FL 32547-1372
(850) 910-1212
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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