JATIQUE DAILEY

PORT ORANGE, FL
NPI1669759627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
Additional Taxonomies225X00000X Occupational Therapist
(Licence: NC  4570)
Enumeration Date2011-11-04
Last Update Date2012-07-31
Business Address
-- JATIQUE DAILEY
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
Mailing Address
-- JATIQUE DAILEY
2216 BOOKER ST
WINSTON SALEM, NC 27105-5602
Phone number: