Individual
BRAD L DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1685 W 2200 S, SALT LAKE CITY, UT 84119-1456
(801) 975-1027
Mailing address
1685 W 2200 S, SALT LAKE CITY, UT 84119-1456
(801) 975-1027
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5282055-2401
UT
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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