Individual
DANIEL DAULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4621 HWY 59 N, GROVE, OK 74344
(918) 786-3797
(918) 786-7395
Mailing address
4621 HWY 59 N, GROVE, OK 74344
(918) 786-3797
(918) 786-7395
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1844
OK
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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