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Individual

MR. TEYMUR MIRZOYEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT, OCS

Contact information

Practice address
297 N US HIGHWAY 287 STE 105, LAFAYETTE, CO 80026-8953
(718) 839-4542
Mailing address
297 N US HIGHWAY 287 STE 105, LAFAYETTE, CO 80026-8953
(718) 839-4542

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
038707-1
NY
2251X0800X
Orthopedic Physical Therapist
Primary
15295
CO

Other

Enumeration date
09/22/2015
Last updated
11/15/2023
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