Provider Demographics
NPI:1528787579
Name:DALEY, BRITTANY LOGAN
Entity type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:LOGAN
Last Name:DALEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1993 ORANGE CHAPEL CLOVER GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-7317
Mailing Address - Country:US
Mailing Address - Phone:919-259-3142
Mailing Address - Fax:
Practice Address - Street 1:1993 ORANGE CHAPEL CLOVER GARDEN RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-7317
Practice Address - Country:US
Practice Address - Phone:919-259-3142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer