Provider Demographics
NPI:1114810975
Name:DALY, KATHRYN MARGARET (COTA/L)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:MARGARET
Last Name:DALY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:KATY
Other - Middle Name:MARGARET
Other - Last Name:DALY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:COTA/L
Mailing Address - Street 1:1380 DWIGHT WAY
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-2120
Mailing Address - Country:US
Mailing Address - Phone:510-431-8114
Mailing Address - Fax:
Practice Address - Street 1:2438 17TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-2528
Practice Address - Country:US
Practice Address - Phone:415-710-7292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6675224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant