Organization
DALTON PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DALTON (BUSINESS MANAGER)
(828) 694-4720
Entity
Organization
Contact information
Practice address
45 OAK PARK DR, LOOKING GLASS SUITE, BREVARD, NC 28712-3183
(828) 694-4720
Mailing address
45 OAK PARK DR, LOOKING GLASS SUITE, BREVARD, NC 28712-3183
(828) 694-4720
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14791
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083708895
—
NC
Enumeration date
08/15/2014
Last updated
08/15/2014
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