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Organization
RYAN DALTON
Active
Organization
RYAN DALTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN DALTON (OWNER)
(845) 901-4240
Entity
Organization
Contact information
Practice address
2804 STONY ST, MOHEGAN LAKE, NY 10547-2007
(845) 901-4240
Mailing address
2804 STONY ST, MOHEGAN LAKE, NY 10547-2007
(845) 901-4240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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