Individual
MICHAEL DESMADRYL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4714 MILESTONE LN, CASTLE ROCK, CO 80104-7907
(303) 660-5349
Mailing address
4714 MILESTONE LN, CASTLE ROCK, CO 80104-7907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0019213
CO
225100000X
Physical Therapist
11768
SC
Other
Enumeration date
02/28/2023
Last updated
07/12/2023
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