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NPI Code Detail

MEDICARE: MR. SEAN VINCENT DALY P.T.

MEDICARE: MR. SEAN VINCENT DALY P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist4116SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00433570OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457431405
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEAN VINCENT DALY P.T.
Provider Business Mailing Address
First Line : 943 PINE LOG RD
Second Line :
City : AIKEN
State : SC
Zip : 29803-7330
Country : US
Telephone Number : 803-649-9797
Fax Number : 803-642-2759
Provider Business Practice Location Address
First Line : 943 PINE LOG RD
Second Line :
City : AIKEN
State : SC
Zip : 29803-7330
Country : US
Telephone Number : 803-649-9797
Fax Number : 803-642-2759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 10/21/2015

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