Individual
CARLENE THERESE DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4375 LILA LN, PRIOR LAKE, MN 55372-3007
(952) 239-4265
Mailing address
4375 LILA LN, PRIOR LAKE, MN 55372-3007
(952) 239-4265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200646
MN
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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