Individual
MRS. ASHLEIGH WILSON DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2008 WILLOW RD, CORINTH, MS 38834-2750
(423) 747-6047
Mailing address
2008 WILLOW RD, CORINTH, MS 38834-2750
(423) 747-6047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1161990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T4660
BCBS PROVIDER NUMBER
TX
Enumeration date
10/03/2006
Last updated
04/12/2022
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