Individual
JEFFREY DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 CHURCHMANS RD, NEWARK, DE 19713-2149
(302) 455-2074
(302) 455-2076
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J100001352
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000037583
—
DE
01
—
1828900
PABS
—
01
—
2683069000
AMERIHEALTH/IBC
—
01
—
5070-0014
CAREFIRST/FEDERAL
—
01
—
620719-01
CAREFIRST/NCA
—
01
—
P00400294
RR MEDICARE
—
Enumeration date
06/22/2006
Last updated
08/25/2025
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