Healthcare Provider Details

I. General information

NPI: 1952959991
Provider Name (Legal Business Name): DR DALY PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 09/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 ROCKRIDGE DR
EUGENE OR
97405-3500
US

IV. Provider business mailing address

PO BOX 5318
EUGENE OR
97405-0318
US

V. Phone/Fax

Practice location:
  • Phone: 541-833-0342
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MEGAN DALY
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 541-833-0342