Individual
MINOO MOSTAFAVIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12360 W NEVADA PL APT 205, LAKEWOOD, CO 80228-3227
(720) 563-1237
Mailing address
12360 W NEVADA PL APT 205, LAKEWOOD, CO 80228-3227
(720) 563-1237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0016713
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL.0016713
DORA
CO
Enumeration date
01/16/2020
Last updated
12/12/2023
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