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General NPI Number Information
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NPI Number | 1851117238
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Entity Type | Organization
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Legal Business Name | DALTON PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 3695 OLD YORKTOWN RD
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City | SHRUB OAK
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State | NY
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Zip | 10588-1503
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Country | US
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Telephone | 914-294-4842
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Fax | 914-301-6710
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Provider Business Mailing Address
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Address Line | 2804 STONY ST
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City | MOHEGAN LAKE
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State | NY
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Zip | 10547-2007
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Country | US
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Telephone | 845-901-4240
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Fax | 914-301-6710
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | RYAN DALTON
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Credential | PT, DPT, OCS
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Telephone | 845-901-4240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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