Individual
SHANNAH DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 INSTITUTE RD, WORCESTER, MA 01609-2280
(085) 831-6711
Mailing address
129 MURDOCK ST, BRIGHTON, MA 02135-2309
(770) 265-8649
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2670
MA
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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