Individual
MR. IDEL Q DALINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
50 E BROOKSIDE DR, TERRE HAUTE, IN 47802-4804
(812) 299-0529
(812) 299-9779
Mailing address
50 E BROOKSIDE DR, TERRE HAUTE, IN 47802-4804
(812) 299-0529
(812) 299-9779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003440A
IN
2251P0200X
Pediatric Physical Therapist
05003440A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002212100B
—
IN
Enumeration date
11/30/2006
Last updated
09/11/2025
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