Individual
DR. CASSANDRA JANE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1703 W STONES CROSSING RD STE 120, GREENWOOD, IN 46143
(317) 528-2018
(317) 528-2907
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013411A
IN
225100000X
Physical Therapist
99093443A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99093443A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
06/02/2019
Last updated
09/20/2019
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