Individual
MEREDITH EMMANUELLE DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
Mailing address
PO BOX 3678, JACKSON, WY 83001-3678
(615) 587-9208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2316
WY
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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