Individual
DALTON COUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1970 OAK RIDGE HWY, CLINTON, TN 37716-5968
(865) 272-5410
Mailing address
9236 SHADY MILL LN, KNOXVILLE, TN 37922-4235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15564
TN
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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