Individual
MR. JASON ALLEN DALEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
OHIO UNIVERSITY, GROVER CENTER E207, ATHENS, OK 45701-2979
(740) 593-9497
Mailing address
124 N LANCASTER ST, ATHENS, OH 45701-2218
(330) 697-1511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002641
OH
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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