Individual
JENNIFER ROWLAND DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1030 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6804
(865) 482-7730
(865) 481-0531
Mailing address
PO BOX 32709, KNOXVILLE, TN 37930-2709
(865) 558-6484
(865) 584-4037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7583
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3646757
—
TN
01
—
4131987
BLUECROSS BLUESHIELD OF T
TN
01
—
4145988446
CHAMPUS TRICARE
TN
01
—
CH4394
MEDICARE-RAILROAD GROUP ID
TN
Enumeration date
07/17/2006
Last updated
06/24/2010
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