Individual
PEGGY DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2805 HUNTERS TRL, PORTAGE, WI 53901-3429
(608) 745-4347
Mailing address
513 S WASHINGTON ST, NEW LISBON, WI 53950-1033
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5087
WI
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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