Individual
DARIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
11490 ACTON LN, WALDORF, MD 20601-9412
(301) 412-0772
Mailing address
11490 ACTON LN, WALDORF, MD 20601-9412
(301) 412-0772
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
A0000640
MD
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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