Individual
NICOLE K DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 OUTER STATE STREET ROAD, CANTON, NY 13617
(315) 386-4504
Mailing address
2115 GREENE ST, OGDENSBURG, NY 13669-1925
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004001
NY
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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