Individual
DALTON CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 W 4TH ST, SEDALIA, MO 65301-2412
(660) 281-4093
Mailing address
1910 W 4TH ST, SEDALIA, MO 65301-2412
(660) 281-4093
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2018037324
MO
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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