Individual
DARYL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2375 TELSTAR DR, STE 110, COLORADO SPRINGS, CO 80920-1028
(719) 590-7777
(719) 590-7121
Mailing address
6979 S HOLLY CIR, STE 105, CENTENNIAL, CO 80112-1577
(303) 694-2295
(303) 694-1843
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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