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1528278637
TRACY L CROCKETT DALTON
VAN NUYS, CA
NPI
1528278637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: CA 23685)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Dr. TRACY L CROCKETT DALTON D.P.T.
13401 HARTLAND ST
VAN NUYS, CA 91405-4318
Phone number: 818-255-2055
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Mailing Address
Dr. TRACY L CROCKETT DALTON D.P.T.
13401 HARTLAND ST
VAN NUYS, CA 91405-4318
Phone number: 818-255-2055
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