Provider Demographics
NPI:1679739817
Name:DALEY, ALBERT JAMES (OTR)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:JAMES
Last Name:DALEY
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8040 NW 54TH ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-5069
Mailing Address - Country:US
Mailing Address - Phone:954-649-3620
Mailing Address - Fax:954-749-7586
Practice Address - Street 1:8040 NW 54TH ST
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-5069
Practice Address - Country:US
Practice Address - Phone:954-649-3620
Practice Address - Fax:954-749-7586
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT9038225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist