Individual
DR. DANIEL LEE MALOUFF JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
95 WEST FIRST STREET, MONTE VISTA, CO 81144-1070
(719) 852-7081
(719) 587-1543
Mailing address
95 WEST FIRST STREET, MONTE VISTA, CO 81144-1070
(719) 852-7081
(719) 587-1543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10011
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10011
STATE LICENCE
CO
Enumeration date
06/24/2008
Last updated
07/09/2008
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