Organization
DAULTON PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLENE DAULTON PT (OWNER)
(612) 961-4685
Entity
Organization
Contact information
Practice address
726 CROSBY DR, HUDSON, WI 54016-7869
(612) 961-4685
(715) 377-1737
Mailing address
726 CROSBY DR, HUDSON, WI 54016-7869
(612) 961-4685
(715) 377-1737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9757-24
WI
Other
Enumeration date
02/06/2014
Last updated
01/13/2015
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