Individual
MR. DALLAS JOHN CARLSON
Active
Individual
MR. DALLAS JOHN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1456
MN
225100000X
Physical Therapist
237
MT
225100000X
Physical Therapist
Primary
279
ND
225100000X
Physical Therapist
522
SD
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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