Individual
DALTON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 353-5252
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014888A
IN
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/23/2023
Last updated
02/06/2023
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