Individual
DARYL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2300 HAGGERTY RD STE 2020, WEST BLOOMFIELD, MI 48323-2189
(248) 313-5940
(248) 313-5941
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018902
MI
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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