Dalton, Bonita Faye

Dalton, Bonita Faye is an individual health care provider with primary practice located at 294 W Carlos Ave , Holbrook AZ 86025-1846. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Dalton, Bonita Faye can be contacted via phone (928) 524-2123.

Contact Information

Primary practice address
294 W Carlos Ave Holbrook AZ 86025-1846
Phone: (928) 524-2123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 3109 Arizona

Profile Details

NPI number 1215034178
LBN Legal business name Dalton, Bonita Faye
Credentials M.S.,OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215034178 NPPES
Arizona MEDICAID 807-208

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