NPI 1063740975

Ennea Selene Dailey, MPTDPT

Practitioner Physical Therapist Apo, AE

Practice location

Address: Cmr 480 Box 2376, Apo, AE 09128-0024
Phone: 4071120708070

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1304 (MT)

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Registry record

NPI: 1063740975
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2009
Record last updated: 4 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.