Healthcare Provider Details

I. General information

NPI: 1932233814
Provider Name (Legal Business Name): CHRISTOPHER JOHN DALY MS, OTRL, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 02/18/2024
Certification Date: 02/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23042 N 94TH ST
SCOTTSDALE AZ
85255-4323
US

IV. Provider business mailing address

23042 N 94TH ST
SCOTTSDALE AZ
85255-4323
US

V. Phone/Fax

Practice location:
  • Phone: 480-717-8693
  • Fax:
Mailing address:
  • Phone: 480-717-8693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number010625
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number5402
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5402
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: