Individual
ALAN DANIEL DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT, OCS
Contact information
Practice address
834 PINEBROOK RD, VENICE, FL 34285-7123
(941) 484-8107
(941) 484-5186
Mailing address
834 PINEBROOK RD, VENICE, FL 34285-7123
(941) 484-8107
(941) 484-5186
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
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