Individual
KELLY J DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N ENTRANCE AVE, KANKAKEE, IL 60901-2026
(815) 936-4570
Mailing address
801 LOUISE LN, PEOTONE, IL 60468-9413
(815) 351-7501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001722
IL
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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