| NPI | 1114165164 |
|---|---|
| Other Name | DALLAS J. CARLSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 279) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 522) |
| 225100000X Physical Therapist (Licence: MN 1456) | |
| 225100000X Physical Therapist (Licence: MT 237) | |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |