Individual
DARRYL M GAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
11486 VIA LIDO, LOMA LINDA, CA 92354-3827
(909) 205-9275
Mailing address
11486 VIA LIDO, LOMA LINDA, CA 92354-3827
(909) 205-9275
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 34950
CA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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