Individual
DR. TRACY L CROCKETT DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
13401 HARTLAND ST, VAN NUYS, CA 91405-4318
(818) 255-2055
(818) 255-2055
Mailing address
13401 HARTLAND ST, VAN NUYS, CA 91405-4318
(818) 255-2055
(818) 255-2055
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
23685
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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