Individual
ALAN DANIEL DALTON
Active
Individual
ALAN DANIEL DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113134
—
FL
01
—
6698562
GHI INDIV PROV NUM
FL
05
—
8874859000
—
FL
01
—
Y9227
BCBS INDIV PROV NUM
FL
Enumeration date
06/12/2006
Last updated
05/10/2017
Update your record
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