Provider Demographics
NPI:1720644883
Name:WOO DALY, BARBARA ANN (DC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:WOO DALY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-3120
Mailing Address - Country:US
Mailing Address - Phone:321-267-4324
Mailing Address - Fax:321-267-7908
Practice Address - Street 1:2708 GARDEN ST
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-3120
Practice Address - Country:US
Practice Address - Phone:321-267-4324
Practice Address - Fax:321-267-7908
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8152111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor