Individual
EILEEN DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
121 CENTER GROVE RD, RANDOLPH, NJ 07869-4453
(973) 361-5500
Mailing address
121 CENTER GROVE RD, RANDOLPH, NJ 07869-4453
(973) 361-5500
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
40QA01727100
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01727100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40QA01727100
—
NJ
Enumeration date
05/22/2017
Last updated
06/16/2018
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