Provider Demographics
NPI:1912206012
Name:DALY, PATRICIA ELAINE
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ELAINE
Last Name:DALY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35204 PILOTBOAT DR
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-7014
Mailing Address - Country:US
Mailing Address - Phone:302-645-1598
Mailing Address - Fax:
Practice Address - Street 1:35204 PILOTBOAT DR
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-7014
Practice Address - Country:US
Practice Address - Phone:302-645-1598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEMC0003193225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist