Individual
DARIUSH SHACKIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2855 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3144
(719) 447-8822
Mailing address
2855 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3144
(719) 447-8822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5733
CO
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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