Individual
MS. MARY COLLEEN DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2835 N GRANDVIEW BLVD, SIUTE 100, PEWAUKEE, WI 53072-5531
(262) 574-1100
Mailing address
2606A E PARK PL, MILWAUKEE, WI 53211-3840
(414) 322-7979
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
256-039
WI
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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