Individual
DANIEL E MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8540 SCARBOROUGH DR, #200, COLORADO SPRINGS, CO 80920-7502
(719) 630-7500
Mailing address
715 W 26TH ST, PUEBLO, CO 81003-1761
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0667
WY
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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