Individual
STEPHANIE D DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SYCAMORE LN, DANVILLE, IN 46122-1474
(317) 745-7503
Mailing address
8125 NTH DEBBIE ST, TERRE HAUTE, IN 47805
(812) 236-4906
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001475A
IN
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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