Organization
MICHAEL DALEY
Active
Other names
COMMUNITY PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T DALEY P.T. (OWNER)
(860) 621-7389
Entity
Organization
Contact information
Practice address
360 N MAIN ST, SUITE 9, SOUTHINGTON, CT 06489-2503
(860) 621-7389
(860) 621-2586
Mailing address
360 N MAIN ST, SUITE 9, SOUTHINGTON, CT 06489-2503
(860) 621-7389
(860) 621-2586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002030
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004252152
—
CT
01
—
0121901
ORTHONET
CT
01
—
104537400
DEPARTMENT OF LABOR
CT
01
—
2V83221
HEALTHNET
CT
01
—
CI7695
MEDICARE RAILROAD
CT
Enumeration date
06/02/2006
Last updated
11/22/2011
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