Individual
TERRY DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9471 THREE RIVERS RD STE D, GULFPORT, MS 39503-4230
(228) 822-9066
Mailing address
13044 TURTLE CREEK PKWY, GULFPORT, MS 39503-5540
(228) 326-3346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT866
MS
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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