Individual
MR. SEAN VINCENT DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
943 PINE LOG RD, AIKEN, SC 29803-7330
(803) 649-9797
(803) 642-2759
Mailing address
943 PINE LOG RD, AIKEN, SC 29803-7330
(803) 649-9797
(803) 642-2759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4116
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00433570
MEDICARE RAILROAD
—
05
—
TH1111
—
SC
Enumeration date
10/16/2006
Last updated
10/21/2015
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