Provider Demographics
NPI:1013147081
Name:DALY, ALLISON MARIE (PT)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MARIE
Last Name:DALY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:5619 MAGAZINE ST
Mailing Address - Street 2:C/O OPTIMAL KINETICS, LLC
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3153
Mailing Address - Country:US
Mailing Address - Phone:504-214-7999
Mailing Address - Fax:504-754-7962
Practice Address - Street 1:5619 MAGAZINE ST
Practice Address - Street 2:C/O OPTIMAL KINETICS, LLC
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3153
Practice Address - Country:US
Practice Address - Phone:504-214-7999
Practice Address - Fax:504-754-7962
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA07634225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist