Basic Information
| Provider Information | |||||||||
| NPI: | 1194239673 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DALY | ||||||||
| FirstName: | PATRICK | ||||||||
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| Credential: | PT,DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7280 LAGAE RD | ||||||||
| Address2: | UNIT EF | ||||||||
| City: | CASTLE PINES | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801089452 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3306605349 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4348 WOODLANDS BLVD STE 100 | ||||||||
| Address2: | |||||||||
| City: | CASTLE ROCK | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801042815 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036605349 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/20/2017 | ||||||||
| LastUpdateDate: | 01/20/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PTL.0015159 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.